title: Early Stent Graft Perforation after Endovascular Repair for Pseudoaneurysm That Was Associated with Clavicle Nonunion.
abstract: We report the case of a 62-year-old man who experienced a left axillary artery pseudoaneurysm that was secondary to nonunion of a 30-year-old left midshaft clavicle fracture. He initially underwent endovascular repair using a self-expanding nitinol stent graft, which was perforated at postoperative day 5. Therefore, we performed open repair with concomitant clavicle resection, and no complications were observed during an approximately 6-year follow-up. We recommend performing clavicle resection with vascular repair to prevent recurrence in similar cases.
authors.affiliation: Department of Cardiovascular Surgery, Nara Hospital Kinki University Faculty of Medicine, Ikoma, Nara, Japan.
authors.forename: Hisao
authors.initials: H
authors.lastname: Nagato
authors.affiliation: Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
authors.forename: Masanao
authors.initials: M
authors.lastname: Touma
authors.affiliation: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
authors.forename: Nobuhisa
authors.initials: N
authors.lastname: Ohno
authors.affiliation: Department of Cardiovascular Surgery, Japanese Red Cross Osaka Hospital, Osaka, Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Yoshikawa
authors.affiliation: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
authors.forename: Kousuke
authors.initials: K
authors.lastname: Yoshizawa
authors.affiliation: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Fujiwara
keywords: axillary artery pseudoaneurysm; clavicle nonunion; early stent graft perforation