Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound

Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound

We describe a patient in whom a stab wound to the right supraclavicular fossa led to a subclavian artery false aneurysm and an arterio-venous fistula (AVF) between the right subclavian artery and the right internal jugular vein. The diagnosis was made clinically and with computerised tomographic ang...

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Main Authors: G.N. Ayane, M. Walsh, D. Prozesky, K. Kadimo
Format: Article
Language:English
Published: Elsevier 2018-08-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644018300190
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spelling doaj-dc3b1183a94d4f86befc366c75ca1f702020-11-25T00:29:52ZengElsevierTrauma Case Reports2352-64402018-08-0116811Simultaneous false aneurysm and arterio-venous fistula in the presence of a single woundG.N. Ayane0M. Walsh1D. Prozesky2K. Kadimo3Department of Surgery, Faculty of Medicine, University of Botswana, Botswana; Corresponding author.Department of Surgery, Faculty of Medicine, University of Botswana, BotswanaDepartment of Medical Education, Faculty of Medicine, University of Botswana, BotswanaDepartment of Library Services, University of Botswana, BotswanaWe describe a patient in whom a stab wound to the right supraclavicular fossa led to a subclavian artery false aneurysm and an arterio-venous fistula (AVF) between the right subclavian artery and the right internal jugular vein. The diagnosis was made clinically and with computerised tomographic angiography (CTA). Open vascular repair was successful. We postulate that this presentation was the result of the knife being inserted then partly withdrawn and reinserted at a different angle. This pattern of injury has been reported previously following central venous line insertion, but rarely following a stab injury. Keywords: False aneurysm, Arteriovenous fistula (AVF), Computed tomography angiography (CTA), Vascular surgeryhttp://www.sciencedirect.com/science/article/pii/S2352644018300190
collection DOAJ
language English
format Article
sources DOAJ
author G.N. Ayane
M. Walsh
D. Prozesky
K. Kadimo
spellingShingle G.N. Ayane
M. Walsh
D. Prozesky
K. Kadimo
Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
Trauma Case Reports
author_facet G.N. Ayane
M. Walsh
D. Prozesky
K. Kadimo
author_sort G.N. Ayane
title Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
title_short Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
title_full Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
title_fullStr Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
title_full_unstemmed Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
title_sort simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
publisher Elsevier
series Trauma Case Reports
issn 2352-6440
publishDate 2018-08-01
description We describe a patient in whom a stab wound to the right supraclavicular fossa led to a subclavian artery false aneurysm and an arterio-venous fistula (AVF) between the right subclavian artery and the right internal jugular vein. The diagnosis was made clinically and with computerised tomographic angiography (CTA). Open vascular repair was successful. We postulate that this presentation was the result of the knife being inserted then partly withdrawn and reinserted at a different angle. This pattern of injury has been reported previously following central venous line insertion, but rarely following a stab injury. Keywords: False aneurysm, Arteriovenous fistula (AVF), Computed tomography angiography (CTA), Vascular surgery
url http://www.sciencedirect.com/science/article/pii/S2352644018300190
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AT mwalsh simultaneousfalseaneurysmandarteriovenousfistulainthepresenceofasinglewound
AT dprozesky simultaneousfalseaneurysmandarteriovenousfistulainthepresenceofasinglewound
AT kkadimo simultaneousfalseaneurysmandarteriovenousfistulainthepresenceofasinglewound
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