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Eur J Cardiothorac Surg 2008;33:111. doi:10.1016/j.ejcts.2007.09.034
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Fabrice Vanhuyse
Daniele Amrein
Jean Pierre Villemot
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Images in cardio-thoracic surgery

Brachiocephalic artery pseudoaneurysm caused by clavicle luxation

Fabrice Vanhuyse*, Pablo Maureira, Daniele Amrein, Jean Pierre Villemot

Department of Cardiac Surgery, CHU Nancy, France

Received 17 July 2007; received in revised form 7 September 2007; accepted 10 September 2007.

* Corresponding author. Address: Departement de pathologie cardiaque, CHU Nancy, Rue du Morvan, 54500 Vandoeuvre-Les-Nancy, France. Tel.: +33 3 83 54 300. (Email: fabrice.vanhuyse{at}ulb.ac.be).

Key Words: Blunt traumatic injury • Brachiocephalic trunk • Clavicle luxation

A 49-year-old woman was admitted after a fall in the staircases. Chest CT scan (Figs. 1 and 2 ) shows a pseudoaneurysm of the brachiocephalic artery caused by posterior clavicle luxation. The patient was operated and we realized a bypass between proximal undamaged brachiocephalic artery trunk and the right subclavian carotid bifurcation.


Figure 1
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  		Fig. 1. CT reconstruction demonstrates a voluminous brachiocephalic artery pseudoaneurysm caused by a posterior clavicle luxation.

 

Figure 2
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  		Fig. 2. A second view from a different angle underlines the relation between clavicle and the pseudoaneurysm.

 





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Daniele Amrein
Jean Pierre Villemot
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