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J Thorac Cardiovasc Surg 2005;130:225-227
© 2005 The American Association for Thoracic Surgery

Brief Communication

Endovascular treatment of a combined pseudoaneurysm and arteriovenous fistula of the subclavian artery caused by a gunshot wound to the chest

Fausto Y. Vinces, DO a , * , David C. Sperling, MD b

a Department of Surgery, Section of Trauma and Critical Care, St Barnabas Hospital, Bronx, NY
b Department of Radiology, St Barnabas Hospital, Bronx, NY

Received for publication August 7, 2004; revisions received October 28, 2004; accepted for publication November 4, 2004.

* Address for reprints: Fausto Y. Vinces, DO, Department of Surgery, Section of Trauma and Critical Care, St Barnabas Hospital, 4422 Third Ave, Bronx, NY 10457 (Email: vincesf@optonline.net).

The first 20% of the full text of this article appears below.

Concomitant pseudoaneurysms and arteriovenous fistulas of the subclavian artery are extremely uncommon. We present an endovascular repair of a combined pseudoaneurysm and arteriovenous fistula of the right subclavian artery caused by a gunshot wound to the clavicular region.

Clinical Summary

A 19-year-old man was brought to our regional level I trauma center with a single gunshot wound to the right infraclavicular area. Vital signs at admission included blood pressure of 148/70 mm Hg in the right arm and 120/60 mm Hg in the left arm and a heart rate of 78 beats/min. A chest x-ray film demonstrated a bullet in the right shoulder area. The patient had palpable brachial, radial, and ulnar pulses. Because of the location of his injury, an emergency arch aortography with selective right subclavian angiography was performed. The study demonstrated rapid filling of the right subclavian vein during the arterial phase of the injection consistent with an extremely high-flow . . . [Full Text of this Article]




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Late Concomitant Pseudoaneurysm and Arteriovenous Fistula of the Subclavian Artery: A Developing Country Perspective
Vascular and Endovascular Surgery, August 1, 2010; 44(6): 503 - 505.
[Abstract] [PDF]


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