MyMedR

Buerger's disease affecting the axillary artery

Thavaraja Singham K

Med J Malaya, 1970 Dec;25(2):149-51.

PMID: 4251135

Matched MeSH terms: Axillary Artery*

Fulltext Metaplastic breast carcinoma with upper limb gangrene

Rajan R, Abdullah N, Abdullah NMA, Mohd Kassim AY

Breast Cancer (Dove Med Press), 2017;9:297-299.

PMID: 28496362 DOI: 10.2147/BCTT.S126909

Metaplastic breast carcinomas (MBCs) are rapidly growing tumors with histological heterogeneity, and triple negative receptor status. The aim of this case report is to highlight a case of advanced MBC with axillary artery infiltration leading to gangrene of the ipsilateral upper limb, in a young woman.

Matched MeSH terms: Axillary Artery

Anatomical variations of median nerve formation, distribution and possible communication with other nerves in preserved human cadavers

Mat Taib CN, Hassan SN, Esa N, Mohd Moklas MA, San AA

Folia Morphol (Warsz), 2016 09 26;76(1):38-43.

PMID: 27665953 DOI: 10.5603/FM.a2016.0045

Formation, distribution and possible communication of the median nerve are essential to know in treatment and surgeries of various conditions of injuries e.g. repair or reconstruction of the median nerve post traumatic accident. In the present study, 44 upper limbs were dissected. Root forming the median nerve, the median nerve in relation with the axillary artery and communication of the median nerve with other nerves were noted.

Matched MeSH terms: Axillary Artery/anatomy & histology*

Axillary artery thrombosis associated with fracture of the clavicle

Iqbal QM

Med J Malaya, 1971 Sep;26(1):68-70.

PMID: 4258581

Matched MeSH terms: Axillary Artery/injuries*

Variant origin of an arterial trunk from axillary artery continuing as profunda brachii artery--a unique arterial variation in the axilla and its clinical implications

Naveen K, Jyothsna P, Nayak SB, Mohandas RK, Swamy RS, Deepthinath R, et al.

Ethiop J Health Sci, 2014 Jan;24(1):93-6.

PMID: 24591805

BACKGROUND: Axillary artery is known to show different variations mostly in its branching pattern. Similarly, the origin of profunda brachii is often encountered with abnormality. Therefore, when the vascular variations in the upper limb persist, mostly it is confined to its branching pattern followed by its variant origin. But, among all the reported variations of profunda brachii, its variant origin from the 3rd part of the axillary artery with common trunk for the branches of axillary artery is unique.

CASE DETAILS: We report here an anomalous origin of profunda brachii as continuation of an arterial trunk arising from 3rd part of the axillary artery. This common trunk at its commencement passed between 2 roots of median nerve and gave branches of 3rd part of axillary artery before it continued as profunda brachii artery. The further course and branching pattern of profunda brachii were normal.

CONCLUSION: Since the axillary artery is next choice of artery for arterial cannulation in cardiopulmonary bypass procedures, prior knowledge of existence of such variation in its branching pattern helps in avoiding possible diagnostic or interventional therapeutic errors.

Matched MeSH terms: Axillary Artery/abnormalities*

Fulltext Anterior shoulder dislocation with axillary artery and nerve injury

Razif MAM, Rajasingam V

Med J Malaysia, 2002 Dec;57(4):496-8.

PMID: 12733178

We report a rare case of left axillary artery injury associated with anterior dislocation of the left shoulder in a 25 yrs old male as a result of a road traffic accident. The shoulder dislocation was reduced. A left upper limb angiogram showed an obstructed left axillary artery. The obstructed segment was surgically reconstructed with a Dacron graft. Six months post operation in follow up, he was found to have good left shoulder function and no neurovascular deficit. This is an injury that could have been easily missed without a simple clinical examination.

Matched MeSH terms: Axillary Artery/injuries*; Axillary Artery/surgery

Fulltext Unusual variations of the lateral and posterior cords in a female cadaver

Thwin SS, Zaini F, Than M, Lwin S, Myint M

Singapore Med J, 2012 Jun;53(6):e128-30.

PMID: 22711051

The presence of anatomical variations of the peripheral nervous system often accounts for unexpected clinical signs and symptoms. We report unusual variations of the lateral and posterior cords of the brachial plexus in a female cadaver. Such variations are attributed to a faulty union of divisions of the brachial plexus during the embryonic period. The median nerve lay medial to the axillary artery (AA) on both sides. On the right, the lateral root of the median nerve crossing the AA and the median nerve in relation to the medial side of the AA was likely the result of a faulty development of the seventh intersegmental artery. We discuss these variations and compare them with the findings of other researchers. Knowledge of such rare variations is clinically important, aiding radiologists, anaesthesiologists and surgeons to avoid inadvertent damage to nerves and the AA during blocks and surgical interventions.

Matched MeSH terms: Axillary Artery/innervation

Endovascular management of axillosubclavian artery injuries: report of three cases

Leong BD, Naresh G, Hanif H, Lee SK, Zainal AA, Sara CM

Surg Today, 2013 Aug;43(8):918-22.

PMID: 22987278 DOI: 10.1007/s00595-012-0330-6

Open surgical repair of axillosubclavian artery injuries is technically demanding and associated with significant morbidity and mortality. Endovascular intervention has emerged as a valuable alternative to open surgical repair. This report presents three cases with axillosubclavian artery injuries managed with endovascular intervention. All three cases had a pseudoaneurysm of the axillosubclavian artery with one case associated with an arteriovenous fistula. They were successfully treated with endovascular stenting and balloon angioplasty. There were no observed acute complications. No complications or recurrence have occurred, with a mean follow-up of 26 months. Endovascular intervention for axillosubclavian artery injuries is less invasive, safe and effective; however, data concerning the long-term effects and complications associated with this technique are lacking.

Matched MeSH terms: Axillary Artery/injuries*

Fulltext A Limb-Threatening Long Arterial Dissection Caused by Humerus Neck Fracture: A Case Report

Kurnaz R, Ikizler M, Ozbayburtlu M, Gunes T

Malays Orthop J, 2018 Mar;12(1):51-53.

PMID: 29725515 DOI: 10.5704/MOJ.1803.012

Proximal humerus fracture is a common arm trauma and rarely occurs with vascular injury which however is a serious complication. In this case report, we present a long segment dissection of the axillary and brachial arteries as a rare complication due to fragmented proximal humerus fracture and shoulder dislocation. An 80-year old female patient was seen at the emergency department. Radiograph examination has revealed a fragmented proximal humerus fracture besides dislocation of the head of humerus towards the axillary area. On vascular examination, acute arterial occlusion such as absence of radial and ulnar pulses were observed in her left hand. The patient was immediately taken to the operating room. The dissection included the entire segment approximately 20cm between the distal subclavian artery and the distal brachial artery. This injured segment was removed and a 6mm Polytetrafluroethylene (PTFE) graft with rings was interpositoned between subclavian and brachial arteries. This case is a rarity because of such a significant complication after a small injury. Axillary artery injuries caused by humeral neck fractures are rare but should not be missed by the physician.

Matched MeSH terms: Axillary Artery

Fulltext Axillary Artery Injury with Intact Radial Pulse following Fracture-Dislocation of Shoulder: A Case Report

Rajeev A, Timmons G

Malays Orthop J, 2019 Nov;13(3):66-68.

PMID: 31890113 DOI: 10.5704/MOJ.1911.011

The occurrence of axillary artery injury following proximal humerus fracture dislocation in elderly patient with low velocity fall is uncommon. The patient could have diverse clinical presentations in spite of intact peripheral pulses. We report the case of an 85-year-old lady who presented to our emergency department with greater tuberosity fracture of the humerus with dislocation of the right shoulder. After closed manipulative reduction of the dislocation, it was observed that the patient had brachial plexus palsy with intact radial pulse. An expanding swelling and bruise around the shoulder was noted and a steady drop in haemoglobin level. CT angiogram revealed avulsion of the posterior circumflex artery which was then treated successfully with stenting.

Matched MeSH terms: Axillary Artery

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