Surgery for subclavian arteriovenous fistula with ruptured pseudoaneurysm using total circulatory arrest

Tae-Eun Jung; Jin-Tae Kwon; Dong-Hyup Lee; Jang-Hoon Lee; Oog-Jin Shon
August 2013
Journal of Cardiothoracic Surgery;2013, Vol. 8 Issue 1, p1
Academic Journal
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.


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