PMC3816038_01
Our patient at age of 6 hours showing pallor and cyanosis from proximal one third of arm to all hands and fingers.
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fig1
On examination it was found that he had asymmetrical moro reflex, right upper limb coldness, pallor, and cyanosis from proximal one-third of arm to all hands and fingers (Figure 1).
Three-dimensional view on computed tomography angiography showed right axillary artery occlusion from its first part till brachial artery in mid arm with no evidence of collaterals, consistent with a diagnosis of right axillary artery thrombosis.
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fig2
Computed tomography angiography (CTA) for aorta and its branches including right upper limb vasculature was done at age of 18 hours and revealed that the right axillary artery was occluded from its first part till brachial artery in mid arm with no collaterals (Figure 2: three-dimensional view on computed tomography angiography) consistent with a diagnosis of right axillary artery thrombosis that is causing upper limb ischemia.
PMC3816038_02