Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula

Vascular injury is still common in countries such as Iraq where both military and urban violence are endemic. This is a report of a thirty eight year old civilian patient who had been inflicted with shrapnel injury during the 3rd. Gulf war, which had caused two different types of vascular injury wit...

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Main Author: Waleed M. Hussen
Format: Article
Language:English
Published: College of Medicine University of Baghdad 2009-07-01
Series:مجلة كلية الطب
Subjects:
Online Access:http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1203
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author Waleed M. Hussen
author_facet Waleed M. Hussen
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description Vascular injury is still common in countries such as Iraq where both military and urban violence are endemic. This is a report of a thirty eight year old civilian patient who had been inflicted with shrapnel injury during the 3rd. Gulf war, which had caused two different types of vascular injury with minimal evidence of vascular injury with evidence of only two small wounds in the neck and upper chest at the time of injury but presented few months later with a pulsatile neck mass and palpable thrill across the right supraclavicular area and upper chest. Preoperative investigations were done including Doppler study and angiography which confirmed the presence of right common carotid artery aneurysm and right subclavian arterio- venous fistula. Surgical treatment performed sixteen months later by combined trap-door approach and cervical incisions and by the use of scrubner's shunt (which is used for emergency haemodialysis in renal failure patients) as a carotid shunt due to the unavailability of carotid shunt in Iraq to maintain cerebral perfusion during common carotid artery clamping . Excellent recovery occurred without any neurological sequel. The report will include also a review of literatures about these rare vascular injuries.
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spelling doaj.art-0a5ce0d305f84557b4a223b1721291722024-02-03T03:45:49ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572009-07-0151210.32007/1203%g162-164Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous FistulaWaleed M. Hussen0Dep. Of Surgery, College of Medicine, University of Baghdad.Vascular injury is still common in countries such as Iraq where both military and urban violence are endemic. This is a report of a thirty eight year old civilian patient who had been inflicted with shrapnel injury during the 3rd. Gulf war, which had caused two different types of vascular injury with minimal evidence of vascular injury with evidence of only two small wounds in the neck and upper chest at the time of injury but presented few months later with a pulsatile neck mass and palpable thrill across the right supraclavicular area and upper chest. Preoperative investigations were done including Doppler study and angiography which confirmed the presence of right common carotid artery aneurysm and right subclavian arterio- venous fistula. Surgical treatment performed sixteen months later by combined trap-door approach and cervical incisions and by the use of scrubner's shunt (which is used for emergency haemodialysis in renal failure patients) as a carotid shunt due to the unavailability of carotid shunt in Iraq to maintain cerebral perfusion during common carotid artery clamping . Excellent recovery occurred without any neurological sequel. The report will include also a review of literatures about these rare vascular injuries.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1203The report will include also a review of literatures about these rare vascular injuries.
spellingShingle Waleed M. Hussen
Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula
مجلة كلية الطب
The report will include also a review of literatures about these rare vascular injuries.
title Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula
title_full Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula
title_fullStr Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula
title_full_unstemmed Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula
title_short Case Report and review of literatures Common Carotid Artery Aneurysm and Subclavian Arterio-Venous Fistula
title_sort case report and review of literatures common carotid artery aneurysm and subclavian arterio venous fistula
topic The report will include also a review of literatures about these rare vascular injuries.
url http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1203
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