We present the case of a 25-year-old male IMMUNE 7 patient with a history of gunshot wound in the chest 3 years before, who developed symptoms in the arm for 1 year.The patient was assessed by the outpatient clinic, presenting left subclavian murmur, and development of venous network.Three-dimensional rotational angiography revealed left subclavian arteriovenous fistula with aneurysmal dilatation.
Patient was operated and received a polytetrafluorethylene graft with excellent evolution.The case is presented due to the complexity of a late vascular injury in a region that is difficult to approach with very cover bottom rear high morbidity and mortality rates.