Late Concomitant Pseudoaneurysm and Arteriovenous Fistula of the Subclavian Artery: A Developing Country Perspective

Abstract

Concomitant subclavian artery pseudoaneurysm and arteriovenous (AV) fistula has been rarely reported. We report a case of late concomitant pseudoaneurysm and AV fistula of the subclavian artery caused by a gunshot wound. Open surgical approach with an infraclavicular approach was used; subclavian artery was repaired with a Gortex interposition graft and subclavian vein was ligated. The postoperative course was uneventful. In developing countries, where the endovascular expertise is unavailable or if the lesion is large, open surgical approach provides similar results as an endovascular approach.

Surgery for subclavian arteriovenous fistula with ruptured pseudoaneurysm using total circulatory arrest

“…Complications such as a subclavian artery injury, fistula, and pseudoaneurysm, may be caused by screws used in clavicle fracture reduction with a plate [2,4]. In our case, pseudoaneurysm of the subclavian artery was caused by blunt chest trauma, and tearing of the pseudoaneurysm was suspected to have been caused by drilling and insertion of screws during the clavicle operation.…”