Abstract
Pseudoaneurysm due to a swallowed fishbone rarely involves subclavian arteries. A 46-year-old male with nonaberrant right subclavian artery (RSA) presented pseudoaneurysm and brachial plexus septic necrosis. Open surgery with sternotomy and right transverse supraclavicular cervicotomy was done in emergency to achieve revascularization using in situ cryopreserved arterial allograft. Infection severity led to septic allograft rupture that necessitated ligation without new arterial reconstruction. During follow-up, patient remained alive 8 months after surgery. Neurological deficit slowly regressed, and no upper arm ischemic sign appeared.
Copyright © 2018 Elsevier Inc. All rights reserved.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / microbiology*
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Aneurysm, False / surgery
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Aneurysm, Infected / diagnostic imaging
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Aneurysm, Infected / microbiology*
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Aneurysm, Infected / surgery
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Anti-Bacterial Agents / therapeutic use
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Bone and Bones*
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Computed Tomography Angiography
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Esophageal Fistula / diagnostic imaging
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Esophageal Fistula / microbiology*
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Esophageal Fistula / surgery
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Foreign-Body Migration / diagnostic imaging
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Foreign-Body Migration / etiology*
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Foreign-Body Migration / surgery
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Humans
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Male
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Middle Aged
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Seafood*
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Streptococcal Infections / diagnostic imaging
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Streptococcal Infections / microbiology*
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Streptococcal Infections / surgery
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / microbiology*
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Subclavian Artery / surgery
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Treatment Outcome
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Vascular Surgical Procedures