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Revista médica del Hospital General de México

On-line version ISSN 2524-177XPrint version ISSN 0185-1063

Abstract

SIERRA-JUAREZ, Miguel A.; CRUZ-ROMERO, Christian; RODRIGUEZ-NAVA, Patricia  and  DENA-ESPINOZA, Ernesto. J.. Arteriovenous subclavian artery fistula with aneurysm secondary to firearm trauma: Case report. Rev. med. Hosp. Gen. Méx. [online]. 2021, vol.84, n.1, pp.28-31.  Epub Jan 22, 2021. ISSN 2524-177X.  https://doi.org/10.24875/hgmx.20000026.

We present the case of a 25-year-old male patient with a history of gunshot wound in the chest 3 years before, who developed symptoms in the arm for 1 year. The patient was assessed by the outpatient clinic, presenting left subclavian murmur, and development of venous network. Three-dimensional rotational angiography revealed left subclavian arteriovenous fistula with aneurysmal dilatation. Patient was operated and received a polytetrafluorethylene graft with excellent evolution. The case is presented due to the complexity of a late vascular injury in a region that is difficult to approach with very high morbidity and mortality rates.

Keywords : Vascular trauma; Arteriovenous fistula; Subclavian artery.

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