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Vol. 49. Issue 3.
Pages 187-188 (March 2025)
Images in Intensive Medicine
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Fistula from subclavian artery to right internal jugular vein secondary to firearm injury
Fístula de arteria subclavia a vena yugular interna derecha secundaria a lesión por arma de fuego
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Antonio Padilla-Serranoa,
Corresponding author
antoniopadillaserrano@yahoo.es

Corresponding author.
, Ala Eddine Daoudi El Boukhrissia, Genaro López Milenab
a Unidad de Cuidados Intensivos Cardiovasculares, Servicio de Medicina Intensiva, Hospital Universitario Virgen de las Nieves, Granada, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, Spain
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Patient with a firearm injury to the right side of his neck. When treated by the medical services, the patient was found to be conscious, breathing normally, and hemodynamically stable. Airway isolation was performed, followed by a cervico-thoracic coronary computed tomography angiography (CCTA), which revealed both in the axial-oblique view (Fig. 1) and from the posterior view of a 3D reconstruction (Fig. 2), a laceration of the proximal third of the right subclavian artery, resulting in a pseudoaneurysm, and of the right internal jugular vein, leading to an arteriovenous fistula, which explained the patient's maintained hemodynamic stability and a hemoglobin level of 12.1g/dL until surgical repair.

Figure 1
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Figure 2
(0.29MB).
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The instructions for authors and ethical responsibilities have been taken into account. Furthermore, the protocols and procedures of the hospital related to the publication of patient data and privacy have been followed.

Funding

None declared.

Authors’ contributions

All authors have equally contributed to the conception, drafting, and final approval of the scientific communication.

Conflicts of interest

None declared.

Copyright © 2024. Elsevier España, S.L.U. and SEMICYUC
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