%0 Journal Article
%T Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties
%A Yoboua Aim¨¦ Kirioua-Kamenan
%A Assoumou Lucien Asseke
%A Jean Calaire Degr¨¦
%A Koutoua Eric Katch¨¦
%A Ibrahim Junior Yeo
%A Marc Herv¨¦ Kassi
%A Zol¨¦ Cedrick Doh
%A Kwadjau Anderson Amani
%A Kouassi Antonin Souaga
%A Kouassi Flavien Kendja
%J World Journal of Cardiovascular Surgery
%P 85-92
%@ 2164-3210
%D 2023
%I Scientific Research Publishing
%R 10.4236/wjcs.2023.135008
%X Introduction-Objectives: Through the presentation of epidemiological, anatomo-clinical and
surgical aspects, we report our experience in the management of traumatic
axillary lesions. Materials and Methods: A descriptive retrospective study was based on the medical
records of patients who suffered vascular axillary and/or brachial plexus
trauma and who underwent surgical repair at the Abidjan Cardiology Institute
from January 2008 to June 2022. Epidemiological, anatomo-clinical and surgical data
were studied. Results: Thirty-four medical files belonging to 33 men and one woman, aged 32 on
average, were collected. The circumstances of occurrence were dominated by the
stab wound (n = 22). The
combinations of injuries were as follows: associated involvement of the
axillary artery and vein (n = 4); isolated involvement of axillary artery (n = 3); isolated involvement of the axillary vein (n = 2); associated involvement of
the axillary artery and brachial plexus (n = 17); associated involvement of the axillary artery and
vein and brachial plexus (n = 08). Anatomic lesions included acute arterial
lesions (n = 29) and arteriovenous fistula (n = 1) and false aneurysms (n = 4).
All patients were operated on under
general anesthesia; vascular repair included direct suturing (n = 16), arterial
and venous bypass using a long saphenous graft (n = 9), prosthetic arterial
bypass (n = 5) and prosthetic flattening-graft (n = 4).