Axillary artery blowout is a rare life- and limb-threatening condition. The traditional surgical approach of ligation and extra-anatomic bypass is associated with a high morbidity and mortality. We present a case report of a 65-year-old male with axillary artery hemorrhage secondary to an irradiated squamous cell cancer. We propose a staged hybrid approach for the treatment of this unusual clinical entity consisting of emergent stent grafting followed by planned elective extra-anatomic bypass, debridement, and a course of specific antimicrobial therapy.
EwingsELWittgenCMPalettaCE. Prolonged success with a covered endovascular stent after emergent use in radiation-induced subclavian artery blowout: a case report. Vasc Endovascular Surg. 2008;42(2):187–191.
2.
LuoCMChanCYChenYSWangSSChiNHWuIH. Long-term outcome of endovascular treatment for mycotic aortic aneurysm. Eur J Vasc Endovasc Surg. 2017;54(4):464–471.
3.
LuoYZhuJDaiX, et al.Endovascular treatment of primary mycotic aortic aneurysms: a 7-year single-center experience. J Int Med Res. 2018;46(9):3903–3909.
4.
DiXLiuCZengRNiL. Endovascular aortic repair is a viable strategy for treatment of primary infected abdominal aortic aneurysm. Ann Vasc Surg. Epub ahead of print 22 February 2019. doi:10.1016/j.avsg.2018.12.080.
5.
CenizoNMGonzalez-FajardoJAIbanezMA, et al.Endovascular management of radiotherapy-induced injury to brachiocephalic artery using covered stents. Ann Vasc Surg. 2014;28(3):741.e15–18.
