A blunt traumatic giant pseudoaneurysm of the brachiocephalic artery: A case report from Somalia

Pseudoaneurysm of the brachiocephalic artery is a rare condition that can occur as a result of various causes, including trauma, iatrogenic injury, and infection. The clinical presentation of brachiocephalic artery pseudoaneurysms can vary depending on the size and location of the pseudoaneurysm. Th...

Full description

Saved in:
Bibliographic Details
Published in:International journal of surgery case reports 2024-03, Vol.116, p.109329, Article 109329
Main Authors: Ali, Abdijalil Abdullahi, Hussein, Abdinafic Mohamud, Albay, Erkan, Siyad, Ali Abdulkadir Ali, Hassan, Mohamed Omar, Ahmed, Said Abdirahman
Format: Article
Language:English
Subjects:
Blunt
Brachiocephalic artery
Case Report
Pseudoaneurysm
Traumatic
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pseudoaneurysm of the brachiocephalic artery is a rare condition that can occur as a result of various causes, including trauma, iatrogenic injury, and infection. The clinical presentation of brachiocephalic artery pseudoaneurysms can vary depending on the size and location of the pseudoaneurysm. The treatment options for innominate artery pseudoaneurysms include both surgical and endovascular approaches. Our goal of the study is to increase awareness and early detection of blunt injuries in the chest, clavicle, or sternoclavicular joint that may cause a vascular injury. We present here A 24-year-old male came to present with an acute onset of dyspnea, stridor (an abnormal, high-pitched respiratory sound produced by irregular airflow in a narrowed airway), a worsening cough, and chest pain that had been worsening over several months. His medical history was significant for blunt chest trauma secondary to a bicycle fall 3 months earlier. A traumatic giant pseudoaneurysm of the innominate artery is a rare but potentially life-threatening condition. Treatment options for brachiocephalic artery pseudoaneurysm include both endovascular and surgical approaches. This case report contributes to the current literature when any patient has a blunt injury in the chest, clavicle, or sternoclavicular joint and is highly suspect of a vascular injury. To increase awareness, we first need to exclude if there is any vascular injury, which helps to detect it early and intervene. Brachiocephalic artery traumatic large pseudoaneurysm is an uncommon but potentially fatal disorder that can arise from a number of different sources. Achieving favorable results requires prompt diagnosis and proper care, which may include open surgical repair and endovascular procedures. To better comprehend the condition and optimize its management approaches, more investigation and case studies are required. •Pseudoaneurysm of the brachiocephalic artery is a rare condition that can occur as a result of various causes, including trauma, iatrogenic injury, and infection.•Symptoms can range from mild to severe and potentially life-threatening, including stridor, tracheal compression, and respiratory distress.•CTA is considered the most accurate diagnostic tool for identifying pseudoaneurysms in the brachiocephalic artery.•The treatment options for innominate artery pseudoaneurysms include both surgical and endovascular approaches.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2024.109329