Abstract
We report a rare case of traumatic axillo-brachial artery (Ax-BA) pseudoaneurysm and huge thoracic hematoma associated with proximal humeral fracture. An 88-year-old woman underwent operation for proximal humeral fracture after an accidental fall. Thereafter, she was in a state of shock and had respiratory failure. Emergency computed tomography revealed a ruptured left Ax-BA pseudoaneurysm and huge thoracic hematoma. We selected a simple method for the minimum invasive surgery and performed endovascular treatment (selective coil embolization for the injured artery) and surgical removal of the hematoma. The postoperative course was uneventful.