title: Shoulder reconstruction following disarticulation for ruptured mycotic aneurysm.
abstract: A method of wound management following shoulder disarticulation is described. In this report, the primary lesion is a mycotic aneurysm of the axillary artery. The pectoralis major muscular flap provides satisfactory coverage and maintains shoulder contour. It can be performed in a single procedure. Preoperative arteriography is important to determine the extent of arterial damage as well as the vascular anatomy of the proposed flap.
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D000785:Aneurysm, Infected / Q000601:surgery*; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000098:blood supply / Q000601:surgery; D011859:Radiography; D012422:Rupture, Spontaneous; D012785:Shoulder Joint / Q000601:surgery*; D013524:Surgical Flaps