TRUE AXILLARY ARTERY ANEURYSM DUE TO REPETETIVE BLUNT FORCE TRAUMA

Authors

  • Vlatko Cvetanovski Department of Vascular Surgery, General Hospital Remedika, Skopje, Faculty of Medical Sciences, Goce Delchev University, Shtip, Republic of North Macedonia
  • Dina Cimesik Department of Vascular Surgery, General Hospital Remedika, Skopje, Republic of North Macedonia
  • Aleksandar Mitevski Department of General Surgery, General Hospital Remedika, Skopje, Faculty of Medical Sciences, Goce Delchev University, Shtip, Republic of North Macedonia
  • Marija Cvetanovska University Clinic for Infectious Diseases and Febrile Conditions, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Borislav Kondov University Clinic for Thoracic and Vascular Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia

Keywords:

Aneurysm, Repetetive trauma, Limb ischemia, Axillary artery

Abstract

The incidence of vascular pathology due to repetitive blunt force trauma of the axillary pit by using axillary crutches has been described in the medical literature. We report a case of axillary artery aneurysm with brachial, radial and ulnar artery embolization in a 53-year-old man with a severe case of spastic quadriparesis subsequent to childhood poliomyelitis. The patient presented with aggravating pain in the past 2 weeks, due to subacute right arm ischemia. We performed bypass grafting from the axillary to brachial artery with exclusion of the aneurysm followed by distal thrombectomy. An axillary artery aneurysm is rare, but potentially lethal for the upper extremity; therefore, surgical treatment must be performed prior to the development of permanent sequalae.

References

Kharazm P, Nematollahi N, Zeinali F, Alizadeh S. Axillary artery aneurysm in a construction worker, presentation of a rare case. Int J Surg Case Rep.; 110:108680. doi: 10.1016/j.ijscr.2023.108680. Epub 2023 Aug 19. PMID: 37611399; PMCID: PMC10470309.

Henry F. Tripp, USAF MC FS, Joseph W. Cook, MD Military Medicine, 1998; 163(9): 653-655. https://doi.org/10.1093/milmed/163.9.653.

Slaney G. The Cause and Management of Aneurysms. 1990. A history of aneurysm surgery. [Google Scholar]

Cina CS. Endovascular repair of popliteal aneurysms. J Vasc Surg 2010; 51(4): 1056-1060. doi: 10.1016/j.jvs.2009.09.008.

Igari K, Kudo T, Toyofuku T, Jibiki M, Inoue Y. Surgical treatment of aneurysms in the upper limbs. Ann Vasc Dis 2013; 6(3): 637-641. doi: 10.3400/avd.cr.13-00024.

Correia M, Antunes L, Gonçalves Ó. Aneurysms of the Upper Limb: review of an Experience. Rev Portuguesa Cirurgia Cardio-toracica Vasc. Orgao Of. Soc. Portuguesa Cirurgia Cardio-toracica Vasc 2017; 24(3-4): 152. PMID: 29701383.

Kharazm P, Nematollahi N, Kor F, Shakeri I, Alizadeh S, Mehrjerdian M. Idiopathic true aneurysm of the proximal radial artery with the appearance of an enlarging mass: A case report. Int J Surg Case Rep 2023; 107: 108343. doi: 10.1016/j.ijscr.2023.108343.

Corriere MA, Guzman RJ. True and false aneurysms of the femoral artery. Semin Vasc Surg. 2005 Dec;18(4):216-23. doi: 10.1053/j.semvascsurg.2005.09.008. PMID: 16360579.

Baird Rj, Doran Ml. The false aneurysm. Can Med Assoc J 1964; 91(6): 281-284. PMID: 14180533.

Todd GJ, Benvenisty AI, Hershon S, Bigliani LU. Aneurysms of the mid axillary artery in major league baseball pitchers--a report of two cases. J Vasc Surg 1998; 28(4): 702-707. doi: 10.1016/s0741-5214(98)70097-7.

Malik MK, Kraev AI, Hsu EK, Clement MH, Landis GS. Spontaneous axillary artery aneurysm: a case report and review of the literature. Vascular 2012; 20(1): 46-48. doi: 10.1258/vasc.2011.cr0293.

Majeed L. Pulsatile haemarthrosis of the shoulder joint associated with false aneurysm of the axillary artery as a late complication of anterior dislocation of the shoulder. Injury 1985; 16(8): 566-567. doi: 10.1016/0020-1383(85)90088-9.

Coughlin BF, Paushter DM. Peripheral pseudoaneurysms: evaluation with duplex US. Radiology 1988; 168(2): 339-342. doi: 10.1148/radiology.168.2.3293107.

Bozlar U, Ogur T, Khaja MS, All J, Norton PT, Hagspiel KD. CT angiography of the upper extremity arterial system: Part 2- Clinical applications beyond trauma patients. AJR Am J Roentgenol 2013; 201(4): 753-763. doi: 10.2214/AJR.13.11208.

Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA. Multidetector CT of thoracic aortic aneurysms. Radiographics 2009; 29(2): 537-552. doi: 10.1148/rg.292075080.

Senarslan DA, Yildirim F, Tetik O. Three Cases of Large-Diameter True Brachial and Axillary Artery Aneurysm and a Review of the Literature. Ann Vasc Surg 2019; 57: 273.e11-273.e15. doi: 10.1016/j.avsg.2018.08.100.

Terlecki P, Terlecki KM, Przywara S, Kęsik JJ, Zubilewicz T. Endovascular treatment of false aneurysm of axillary artery in obese women with epilepsy. 5 years follow-up. Acta Angiol 2022; 28(2): 52-55. doi: 10.5603/AA.2022.0010.

Tham SL, Guo Y, Pang MC, Chng JK. Surgical Management of Axillary Artery Aneurysms with Endovascular Stenting versus Open Repair: A Report of Two Cases and Literature Review. Ann Vasc Surg 2019; 58: 385.e11-385.e16. doi: 10.1016/j. avsg.2018.11.010.

Downloads

Published

2025-12-16

Issue

Vol. 5 No. 3 (2025): Acad Med J

Section

Case Reports

License

Copyright (c) 2025 Vlatko Cvetanovski, Dina Cimesik, Aleksandar Mitevski, Marija Cvetanovska, Borislav Kondov

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This work is licensed under CC BY 4.0