Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus: a case report

Stuart A. Suttie, Reza Mofidi, Alison Howd, Gareth D. Griffiths

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Introduction
    Axillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus.
    Case presentation
    We present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture. We discuss the use of a Javid™ shunt during combined upper limb revascularisation and open reduction and internal fixation of the fractured humerus.
    Conclusion
    This case highlights the usefulness of a Javid™ shunt, over other forms of vascular shunts, in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure whilst awaiting definitive revascularisation which can be performed following fracture fixation.
    Original languageEnglish
    Article number259
    JournalJournal of Medical Case Reports
    Volume2
    DOIs
    Publication statusPublished - 5 Aug 2008

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    Axillary Artery
    Humerus
    Internal Fracture Fixation
    Fracture Fixation
    Limb Salvage
    False Aneurysm
    Wounds and Injuries
    Upper Extremity
    Blood Vessels
    Veins
    Arm
    Arteries

    Cite this

    @article{c1c09eefd0c44d299453c5228f7c9a45,
    title = "Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus: a case report",
    abstract = "IntroductionAxillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus.Case presentationWe present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture. We discuss the use of a Javid™ shunt during combined upper limb revascularisation and open reduction and internal fixation of the fractured humerus.ConclusionThis case highlights the usefulness of a Javid™ shunt, over other forms of vascular shunts, in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure whilst awaiting definitive revascularisation which can be performed following fracture fixation.",
    author = "Suttie, {Stuart A.} and Reza Mofidi and Alison Howd and Griffiths, {Gareth D.}",
    year = "2008",
    month = "8",
    day = "5",
    doi = "10.1186/1752-1947-2-259",
    language = "English",
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    journal = "Journal of Medical Case Reports",
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    publisher = "Springer Verlag",

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    Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus : a case report. / Suttie, Stuart A.; Mofidi, Reza; Howd, Alison; Griffiths, Gareth D.

    In: Journal of Medical Case Reports, Vol. 2, 259, 05.08.2008.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus

    T2 - a case report

    AU - Suttie, Stuart A.

    AU - Mofidi, Reza

    AU - Howd, Alison

    AU - Griffiths, Gareth D.

    PY - 2008/8/5

    Y1 - 2008/8/5

    N2 - IntroductionAxillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus.Case presentationWe present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture. We discuss the use of a Javid™ shunt during combined upper limb revascularisation and open reduction and internal fixation of the fractured humerus.ConclusionThis case highlights the usefulness of a Javid™ shunt, over other forms of vascular shunts, in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure whilst awaiting definitive revascularisation which can be performed following fracture fixation.

    AB - IntroductionAxillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus.Case presentationWe present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous open reduction and internal fixation of the fracture. We discuss the use of a Javid™ shunt during combined upper limb revascularisation and open reduction and internal fixation of the fractured humerus.ConclusionThis case highlights the usefulness of a Javid™ shunt, over other forms of vascular shunts, in prompt restoration of blood flow to effect limb salvage. It can be considered as a temporary measure whilst awaiting definitive revascularisation which can be performed following fracture fixation.

    U2 - 10.1186/1752-1947-2-259

    DO - 10.1186/1752-1947-2-259

    M3 - Article

    C2 - 18681953

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    JO - Journal of Medical Case Reports

    JF - Journal of Medical Case Reports

    SN - 1752-1947

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