Franz Randall W
Vascular and Vein Center, Grant Medical Center, Columbus, Ohio 43325, USA.
Vasc Endovascular Surg. 2008 Oct-Nov;42(5):482-5. doi: 10.1177/1538574408318476. Epub 2008 Jun 25.
A 22-year-old man sustained 4 gunshot wounds to the upper torso resulting in left pneumothorax, an expanding right neck hematoma, left humerus fracture, a traumatic arteriovenous fistula from the right subclavian artery to the right brachiocephalic vein, and pseudoaneurysm formation from partial transection of the right subclavian artery. The patient underwent emergent repair of the confluence of the right internal jugular, subclavian and brachiocephalic veins, and laparotomy secondary to compartment syndrome. Seven weeks later, with the pseudoaneurysm enlarged to 6 cm, it was repaired with combined access via the right common femoral artery and right brachial artery. The pseudoaneurysm was covered with a 7 mm x 8 cm fluency-covered stent graft and postdilated with a 7 mm x 4 cm balloon. Postoperatively, the patient had palpable pulses, occlusion of the pseudoaneurysm, and excellent blood flow into the arm.
一名22岁男性上半身遭受4处枪伤，导致左侧气胸、右侧颈部血肿扩大、左肱骨骨折、右锁骨下动脉至右头臂静脉形成创伤性动静脉瘘以及右锁骨下动脉部分横断形成假性动脉瘤。患者接受了右颈内静脉、锁骨下静脉和头臂静脉汇合处的紧急修复，并因骨筋膜室综合征接受了剖腹手术。7周后，假性动脉瘤增大至6厘米，通过右股总动脉和右肱动脉联合入路进行修复。假性动脉瘤用一个7毫米×8厘米的覆膜支架移植物覆盖，并用一个7毫米×4厘米的球囊进行后扩张。术后，患者可触及脉搏，假性动脉瘤闭塞，手臂血流良好。
