title: Posttraumatic axillary false aneurysm after luxatio erecta of the shoulder: case report and literature review.
abstract: Vascular complications after dislocation of the shoulder are rare. We report a case of glenohumeral inferior dislocation (luxatio erecta) responsible for an acute ischemia of the upper limb. Endovascular treatment with a covered stent associated with the evacuation of the compressive hematoma was privileged. In the second stage, an axillary bypass was carried out because of an intrastent thrombosis responsible for an acute ischemia of the right upper limb. The stabilization of the glenohumeral articulation was obtained later with an anterior coracoid bone block. The conventional surgical treatment remains the standard treatment. Hybrid techniques with endovascular clamping can be useful in the presence of proximal arterial lesions. Endovascular treatment is an interesting therapeutic alternative in the urgency and in selected cases but its mid- and long-term results should still be evaluated.
authors: Service de Chirurgie Vasculaire, Institut du thorax, CHU de Nantes, Nantes, France.
authors: Maxime
authors: M
authors: Iakovlev
authors: Clinique chirurgicale orthopédique et traumatologique, Pôle ostéo-articulaire, CHU de Nantes, Nantes, France.
authors: Jean-Baptiste
authors: JB
authors: Marchand
authors: Service de chirurgie vasculaire et thyroïdienne, Centre Hospitalier Départemental de La Roche sur Yon, La Roche sur Yon, France.
authors: Philippe
authors: P
authors: Poirier
authors: Clinique chirurgicale orthopédique et traumatologique, Pôle ostéo-articulaire, CHU de Nantes, Nantes, France.
authors: Kevin
authors: K
authors: Bargoin
authors: Service de Chirurgie Vasculaire, Institut du thorax, CHU de Nantes, Nantes, France. Electronic address: yann.goueffic@chu-nantes.fr.
authors: Yann
authors: Y
authors: Gouëffic
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000792:Angiography; D001366:Axillary Artery; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D012783:Shoulder Dislocation / Q000150:complications*; D014057:Tomography, X-Ray Computed