TY - JOUR
AR - JSCR-2020-2-110
TI - A Challenging Surgical Case of Axillary Artery Pseudoaneurysm Weeks after Blunt Trauma
AU - Anthony, Feghali
AU - Babak , Abai
AU - Brandon , Nussenblatt
AU - Dawn , Salvatore
AU - Paul , DiMuzio
JO - Surgery Case Reports
PY - 2020
DA - Tue 19, May 2020
SN - 2733-225X
DO - http://dx.doi.org/10.31487/j.JSCR.2020.02.10
UR - https://www.sciencerepository.org/a-challenging-surgical-case-of-axillary-artery-pseudoaneurysm-weeks-after_JSCR-2020-2-110 
KW - Axillary artery injury, blunt trauma, delayed vascular intervention, axillary stent
AB - Axillary artery injury is a rare complication of blunt upper extremity trauma and is reported in the literature
on only a few cases. The usual treatment is an open operation with the exclusion of the aneurysm and
interposition grafting. Vascular injury in the elderly population after trauma is especially “dangerous” owing
to a large cohort of these patients being on anticoagulation. For this reason, any hematoma after blunt trauma
must be fully “evaluated” and a careful vascular exam must be undertaken. When the vascular injury is
acute as a result of trauma, the typical interventions include an open repair either with an interposition graft
or reverse saphenous vein graft. We report a case of a delayed traumatic axillary artery dissection with
resultant pseudoaneurysm treated with endovascular stent-grafting.