Axillary pullout syndrome: an unusual complication of axillary femoral bypass grafting

Author(s): Aqeel Alameer, Mohammed Janquli, Abdelaziz Marzoug, Dean Williams Christopher Murrills.

A male patient in his eighties presented two weeks following axillary profunda femoris bypass grafting with chest pain, left upper arm swelling and haemodynamic instability. Imaging revealed axillary anastomotic dehiscence with haemorrhage and pseudoaneurysm formation consistent with a diagnosis of axillary pullout syndrome. Emergency management consisted of a combined endovascular and open surgical approach including emergency stenting of the left axillary artery pseudoaneurysm and open surgical closure of the brachial artery puncture site.