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Báo cáo y học: " Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Use of a Javid shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus a case report Stuart A Suttie 1 Reza Mofidi2 Alison Howd2 and Gareth D Griffiths2 Address Department of Surgery and Molecular Oncology Ninewells Hospital and Medical School Dundee DD1 9SY UK and 2Department of Vascular Surgery Ninewells Hospital Dundee DD1 9SY UK Email Stuart A Suttie - sasuttie@hotmail.com Reza Mofidi - rmofidi@doctors.net.uk Alison Howd - alison.howd@faht.scot.nhs.uk Gareth D Griffiths - gareth.griffiths@nhs.net Corresponding author Published 5 August 2008 Received 29 April 2008 Journal of Medical Case Reports 2008 2 259 doi 10.1186 1752-1947-2-259 Accepted 5 August 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 259 2008 Suttie et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Axillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus. Case presentation We present a case of axillary artery pseudoaneurysm secondary to such a fracture in a 82-year-old white woman presenting 10 weeks after the initial injury successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture. We discuss the use of a Javid shunt during combined upper limb revascularisation and open reduction and internal fixation of the fractured humerus. Conclusion This case highlights the usefulness of a Javid shunt over other forms of vascular shunts in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure .