Ergüneş Kazim, Yazman Serkan, Yetkin Ufuk, Cakır Volkan, Gurbuz Ali
Department of Cardiovascular Surgery, İzmir Atatürk Training and Research Hospital, Izmir, Turkey.
Ann Vasc Surg. 2013 Oct;27(7):974.e7-10. doi: 10.1016/j.avsg.2013.04.002. Epub 2013 Jul 10.
Axillary artery transection after shoulder dislocation without bone fracture is extremely rare. Early diagnosis, use of the occlusion balloon for proximal control of axillary artery bleeding, and surgical treatment are important to avoid morbidity and mortality. A 74-year old man presented with a complete transection of axillary artery associated with anterior dislocation of the shoulder without bone fracture. Left axillary artery transection was seen on angiography. An angioplasty balloon was used to prevent bleeding from the subclavian artery. The brachial plexus was compressed by a hematoma. Axillary artery repair was performed with an autologous reversed saphenous vein graft interposition. The patient had palpable distal pulses postoperatively. Motor function was significantly improved but still impaired in the postoperative period. Follow-up at 3 months showed good function of the left arm.Successful management of axillary artery injuries requires prompt diagnosis and surgical treatment. Neurologic injury may affect the functional outcome of the limb.
肩关节脱位后无骨折的腋动脉横断极为罕见。早期诊断、使用闭塞球囊近端控制腋动脉出血以及手术治疗对于避免发病和死亡至关重要。一名74岁男性因肩关节前脱位且无骨折而出现腋动脉完全横断。血管造影显示左腋动脉横断。使用血管成形术球囊防止锁骨下动脉出血。臂丛神经被血肿压迫。采用自体大隐静脉倒置移植进行腋动脉修复。术后患者可触及远端脉搏。运动功能有显著改善，但术后仍有受损。3个月随访显示左臂功能良好。成功处理腋动脉损伤需要及时诊断和手术治疗。神经损伤可能会影响肢体的功能预后。
