title: Surgery for subclavian arteriovenous fistula with ruptured pseudoaneurysm using total circulatory arrest.
abstract: Subclavian arteriovenous (AV) fistula is an uncommon disease and rarely occurs secondary to injury. We herein report a case of a ruptured pseudoaneurysm with a subclavian AV fistula caused by clavicle fixation. In cases of a large ruptured pseudoaneurysm with a massive surrounding hematoma, bleeding control and vessel repair is very difficult. For treatment of this case, we decided that median sternotomy and cardiopulmonary bypass with total circulatory arrest would be a good alternative to surgery.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Daemyeong 5-dong, Nam-gu Daegu 705-717, Korea.
authors.forename: Tae-Eun
authors.initials: TE
authors.lastname: Jung
authors.forename: Jin-Tae
authors.initials: JT
authors.lastname: Kwon
authors.forename: Dong-Hyup
authors.initials: DH
authors.lastname: Lee
authors.forename: Jang-Hoon
authors.initials: JH
authors.lastname: Lee
authors.forename: Oog-Jin
authors.initials: OJ
authors.lastname: Shon
mesh_terms: D017541:Aneurysm, False / Q000150:complications*; D001164:Arteriovenous Fistula / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D005260:Female; D006406:Hematoma / Q000150:complications; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000601:surgery; D056346:Sternotomy; D013348:Subclavian Artery; D013350:Subclavian Vein