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Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.

Case Summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma.

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  • Traumatic injuries of the upper limb often result in both nerve and vascular damage due to the close proximity of major vessels and nerves, and timely diagnosis of complications like pseudoaneurysms is crucial.
  • A study reviewed cases of upper limb trauma over two years, utilizing a combined ultrasound imaging and neurophysiological approach to assess nerve injuries, including two specific late-onset vascular complication cases.
  • The findings highlight the enhanced diagnostic accuracy achieved when combining electrophysiology with ultrasonography for assessing nerve injuries, suggesting the need for more extensive studies to validate these promising results.
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  • * The axillofemoral bypass graft is a key surgical option for treating complicated cases of peripheral artery disease, though it can lead to unexpected complications.
  • * A case of a 64-year-old man illustrates how trauma after surgery can cause a pseudoaneurysm that mimics stroke symptoms, highlighting the need for various diagnostic approaches in post-operative care.
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Left ventricular (LV) pseudoaneurysms are uncommon, with traumatic cases being particularly rare. We present a case of a 26-year-old male with a delayed presentation of a traumatic LV pseudoaneurysm, 2 years post-blunt chest trauma. The patient experienced New York Heart Association (NYHA) grade 2 dyspnea, which prompted the investigation.

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Post-traumatic pseudoaneurysm of the right hepatic artery: Two case reports - New Ukrainian reality.

Int J Surg Case Rep

September 2024

Department of Ultrasound Diagnostics, Military Medical Department, SSU, 01601, Volodymyrska str. 33, Kyiv, Ukraine. Electronic address:

Introduction And Significance: The diagnostics and treatment management in conditions of massive sanitary losses with the use of staged treatment have their own specifics and require a multidisciplinary approach with the involvement of a wide range of specialists and the use of modern technologies. The number of sources covering the ultrasound diagnostics and clinical course of hepatic artery pseudoaneurysm as a complication of gunshot wounds is quite limited in world literature.

Case Presentation: We present the experience of the observation and management of the right hepatic artery pseudoaneurysm in case of the blast injury of liver in two patients: the example of successful resolution with spontaneous occlusion and the example with the occurrence of internal bleeding as a result of pseudoaneurysm rupture.

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