Axillary arterial injury is a rare complication of non-recurrent glenohumeral joint dislocation. Previously this type of injury would have required open exploration of the axillary artery with associated risk of iatrogenic injury to the axillary vein or brachial plexus. We present the case of a 75-year-old lady, who following a fall in her own home, sustained a dislocation of her right shoulder joint complicated by avulsion of a branch of her axillary artery. We describe the successful endovascular management of the injury using a self-expanding stent and propose this as the preferred surgical option where the artery is not completely transected.
This paper describes a hybrid repair of a distal extra-cranial internal carotid artery aneurysm involving open surgical transposition of the internal carotid artery followed by endovascular stent graft repair of the aneurysm. This procedure is most useful in cases with challenging anatomy to enable repair of the internal carotid artery aneurysm with minimal morbidity to the patient.Introduction: Rare case of a 39-year-old presenting with the triad of aortic dissection, hypertension and aldosterone-secreting adrenal tumour.Report: We discuss his management, in the acute setting and long term.Discussion: Hyperaldosteronism is increasingly recognised as a secondary cause of hypertension and is associated with higher cardiovascular complication rates than would be expected due to hypertension alone. We discuss management of a young hypertensive patient presenting with acute aortic dissection as implemented at a tertiary referral centre for Vascular Surgery. We consider the possibility that hyperaldosteronism may represent a risk factor for aortic dissection independent of elevated blood pressure.
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