Patel J*, Jha S, Dave SR, Chaudhary J, Poptani D, Agarwal C and Nimavat R
Department of Vascular Surgery, Shri Krishna Hospital, Pramukh Swami Medical College, IndiaFulltext PDF
Isolated non atherosclerotic axillary artery disease is a clinically rare condition. External axillary artery compression can result in occlusion or stenosis or aneurysm formation and subsequent upper extremity ischemia further or distal thromboembolism. In this case a 41-year-old female was brought to trauma department of Shree Krishna Hospital with chief complaint of severe left upper limb pain. Acute in onset & gradually progressive in nature & unable to move left hand & wrist. Once the patient was vitally stable, urgent CT angiography was done, suggestive of complete occlusion of left brachial artery and distal arteries. On the impression of acute limb ischemia & long segment acute thrombus in left axillary artery, on the same day thrombectomy with vein patch plasty followed by that fasciotomy was done. Spo2 was recordable & pulse was palpable on the same day of emergency OT, Pulses which were not appreciable when patient came to trauma earlier.
Acute upper limb Ischemia; Isolated non atherosclerotic axillary artery disease; Unusual upper limb pain; Acute upper limb compartment syndrome; Cerebrovascular events
Patel J, Jha S, Dave SR, Chaudhary J, Poptani D, Agarwal C, et al. Unusual Presentation of Left Acute Upper Limb Pain. World J Vasc Surg. 2022;5(1):1033..