Multiple Pseudoaneurysms of the Brachiocephalic Artery Following Penetrating Arrow Injury in the Neck

Authors

  • KS Islam Department of Cardiac Surgery, NICVD, Dhaka
  • GM Mokbul Department of Vascular surgery, NICVD, Dhaka
  • MA Quashem Department of Cardiac Surgery, NICVD, Dhaka
  • SAMA Sabur Department of Cardiac Surgery, NICVD, Dhaka
  • I Zulkarnine Department of Cardiac Surgery, NICVD, Dhaka
  • AK Beg Department of Anaesthesiology, NICVD, Dhaka
  • WZ Bhuyan Department of Radiology and Imaging , NICVD, Dhaka
  • Z Alom Department of Cardiac Surgery, NICVD, Dhaka
  • I Ahmed Department of Cardiac Surgery, NICVD, Dhaka
  • MR Idris Department of Cardiac Surgery, NICVD, Dhaka
  • MK Hasan Department of Cardiac Surgery, NICVD, Dhaka
  • AR Chowdhury Department of Cardiac Surgery, NICVD, Dhaka

DOI:

https://doi.org/10.3329/cardio.v7i1.20802

Keywords:

Arrow injury, Brachiocephalic artery, Pseudoaneurysm, Airway obstruction

Abstract

Arrow injury in the neck with subsequent pseudoaneurysm formation of the brachiocephalic artery is an uncommon type of injury in our country. Initially it was a punctured wound in the neck which was simply repaired. About 13 days after the initial injury patient came back to hospital with severe respiratory distress and backache for which emergency tracheostomy was needed. This simple puncture wound subsequently developed haematoma in the neck and two pseudoaneurysms at distal brachiocephalic artery. CT angiogram was very helpful to confirm the diagnosis. Correct referral to tertiary hospital like National Institute Cardiovascular Diseases (NICVD) ,prompt diagnosis, definitive treatment of the injury and subsequent aggressive postoperative management saved the life of this young tailor.

DOI: http://dx.doi.org/10.3329/cardio.v7i1.20802

Cardiovasc. j. 2014; 7(1): 58-62

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Published

2014-11-02

How to Cite

Islam, K., Mokbul, G., Quashem, M., Sabur, S., Zulkarnine, I., Beg, A., Bhuyan, W., Alom, Z., Ahmed, I., Idris, M., Hasan, M., & Chowdhury, A. (2014). Multiple Pseudoaneurysms of the Brachiocephalic Artery Following Penetrating Arrow Injury in the Neck. Cardiovascular Journal, 7(1), 58–62. https://doi.org/10.3329/cardio.v7i1.20802

Issue

Vol. 7 No. 1 (2014)

Section

Case Reports