Arteriovenous subclavian artery fistula with aneurysm secondary to firearm trauma: Case report

Abstract

We present the case of a 25-year-old male patient with a history of gunshot wound in the chest 3 years before, who developed symptoms in the arm for 1 year. The patient was assessed by the outpatient clinic, presenting left subclavian murmur, and development of venous network. Three-dimensional rotational angiography revealed left subclavian arteriovenous fistula with aneurysmal dilatation. Patient was operated and received a polytetrafluorethylene graft with excellent evolution. The case is presented due to the complexity of a late vascular injury in a region that is difficult to approach with very high morbidity and mortality rates.

Keywords

• Vascular trauma. Arteriovenous fistula. Subclavian artery.