Traumatic fistula between the brachiocephalic trunk and the brachiocephalic vein due to gunshot wound.
We describe the case of a 49-year old male patient who suffered a gunshot wound in the chest which transfixed the medial mediastinum. He was hemodynamically stable, but had tachycardia and tachypnea. He was submitted to integrated work-up with chest radiogram, transthoracic echocardiography, computerized chest tomography, and arteriography of the aortic arch. A traumatic fistula was evidenced between the brachiocephalic trunk and the brachiocephalic vein. Surgical repair was performed using extracorporeal circulation and deep hypothermia with total circulatory arrest. The patient progressed well and was discharged on the fifth day postoperatively.
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
Pedro Paulo Martins de
PP
Oliveira
Orlando
O
Petrucci
Karlos Alexandre de Souza
KA
Vilarinho
Lindemberg Mota
LM
Silveira
Reinaldo Wilson
RW
Vieira
Domingo Marcolino
DM
Braile
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014948:Wounds, Gunshot / Q000150:complications*