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延迟性腋动脉假性动脉瘤作为肩关节前脱位的单独后果。

Delayed axillary artery pseudoaneurysm as an isolated consequence to anterior dislocation of the shoulder.

作者信息

Palcau Laura, Gouicem Djelloul, Dufranc Julie, Mackowiak Elise, Berger Ludovic

机构信息

Department of Vascular Surgery, University Hospital, Caen, France.

出版信息

Ann Vasc Surg. 2012 Feb;26(2):279.e9-12. doi: 10.1016/j.avsg.2011.05.039.

DOI:10.1016/j.avsg.2011.05.039
PMID:22304870
Abstract

Injury to the axillary artery after anterior shoulder dislocation is a very rare occurrence; although infrequently seen as an iatrogenic complication, very few cases have been reported. We describe a case of delayed axillary artery pseudoaneurysm, presenting as single complication after anterior shoulder dislocation reduction, which was successfully managed by surgical intervention-resection-anastomosis. Although uncommon, pseudoaneurysms should not be forgotten after trivial trauma. The early diagnosis of upper-limb pseudoaneurysms should prevent the risk of vascular and neurological compromises with potential serious long-term sequelae.

摘要

肩关节前脱位后腋动脉损伤是一种非常罕见的情况;虽然作为医源性并发症很少见,但报道的病例极少。我们描述了一例延迟性腋动脉假性动脉瘤病例,该病例为肩关节前脱位复位后的单一并发症,通过手术干预 - 切除 - 吻合成功治疗。尽管不常见,但轻微创伤后不应忽视假性动脉瘤。上肢假性动脉瘤的早期诊断应预防血管和神经受损的风险以及潜在的严重长期后遗症。

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