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Dr. Juan Javier Zuniga Bohorquez, Dr.Cesar Benitez Pozo, Dr. Moises Idrovo Hugo, Dr. Manuel Reyes Marin, Dr Cesar Guarquila, Dr. Leslie Flor Izaguirre, Cardiothoracic Surgery, Luis Vernaza Hospital, Guayaquil, Ecuador
This patient sustained a gunshot wound to the head causing substantial tissue loss over the middle third of their face. On examination a partially thrombosed pseudoaneurysm of the brachiocephalic trunk was identified. Proximal vascular control was obtained and distal reconstruction carried out via a double pericardial patch. The patient underwent an uneventful recovery and left hospital at day 20 without complications.