Blunt thoracic trauma with the formation of pseudoaneurysm with the junction of the right subclavian artery

Queiroz, Rodolfo Mendes; Santana, Danilo Brotto Ferreira de; Roque, Daniel; Filho, Fred Bernardes; Febrônio, Eduardo Miguel; Valentin, Marcus Vinícius Nascimento

doi:10.1590/1806-9282.64.11.987

Cited by 2 publications

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References 5 publications

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“…In the presence of soft signs of arterial injury such as reduced pulses or non-expanding haematoma, these patients can be resuscitated using ATLS principles and evaluated. These soft signs of arterial injury can be investigated with angiography, in the form of CTA, and can be potentially managed conservatively with surveillance ultrasound 16 20…”

Section: Discussionmentioning

confidence: 99%

Ruptured subclavian artery pseudoaneurysm following a shoulder massage on a background of clavicle non-union

et al. 2023

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We present an unusual case of ruptured subclavian artery pseudoaneurysm following hydrotherapy and shoulder massage session on a background of clavicle non-union.Following a clavicle fracture 16 years ago, which was managed conservatively, a woman in her 30s presents over a decade later with a ruptured subclavian artery pseudoaneurysm.The original midshaft clavicle fracture was sustained 16 years ago. Conservative management was agreed, and she was discharged. Six years ago, she developed a small subclavian artery pseudoaneurysm which was kept under surveillance for 12 months with no active intervention required.Over the following years, she continued to have intermittent shoulder girdle discomfort and neuropathic symptoms. On this presentation, after a sports massage, she presented with rapid-onset supraclavicular and axillary swelling. This was diagnosed as a ruptured subclavian artery pseudoaneurysm and was treated with emergency radiological-guided stenting and subsequent internal fixation of the clavicle non-union.The patient then attended regular orthopaedic and vascular follow-up to ensure her clavicle fracture unites and the graft remains patent.We discuss the case presentation and management of this unusual injury.

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Section: Discussionmentioning

confidence: 99%

Ruptured subclavian artery pseudoaneurysm following a shoulder massage on a background of clavicle non-union

et al. 2023

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Evaluation of Subclavian, Thoracic Aorta, and Innominate Artery Injuries in Blunt Trauma Mechanisms: A Systematic Review of Case Reports and Case Series

Seyoum¹,

Kejela²

2019

CSRC

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Background: Blunt thoracic arterial injuries are among the rare causes for presentation at trauma centers. Most of the literature on these injuries is in the form of case reports and case series, with no significantly consolidated data available. Methods: A systematic review of English language case reports and case series from 2000 to 2019 was carried out using the PubMed and Google Scholar search engines. Results: The mean patient ages were 35.9, 36.4, and 44.3 years for thoracic aorta, innominate, and subclavian artery injuries, respectively. Of the innominate artery injury patients, 89.7% were male. Motor vehicle-related injuries contributed to 50.9% of thoracic aortic injuries. A blood pressure/pulse deficit was recorded in 34.8% and 20.7% of patients with subclavian and innominate artery injuries, respectively, and chest pain and hemodynamic instability were found in 23.5% and 20.5% of aortic injury patients, respectively. Clavicular fracture was the most common associated finding in subclavian artery injury patients at 42%. Computed tomography was performed in 21.7%, 47.1%, and 27.6% of patients with subclavian artery, thoracic aorta, and innominate artery injuries, respectively. An endovascular intervention was performed in 44.1% of patients with subclavian artery injuries. Conclusion: Injury to the subclavian artery is relatively common among the older population. Blood pressure or pulse discrepancies could point to either subclavian or innominate artery injury. An endovascular intervention can be considered in all patients but must be individualized based on patient and facility factors.

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Blunt thoracic trauma with the formation of pseudoaneurysm with the junction of the right subclavian artery

Cited by 2 publications

References 5 publications

Ruptured subclavian artery pseudoaneurysm following a shoulder massage on a background of clavicle non-union

Ruptured subclavian artery pseudoaneurysm following a shoulder massage on a background of clavicle non-union

Evaluation of Subclavian, Thoracic Aorta, and Innominate Artery Injuries in Blunt Trauma Mechanisms: A Systematic Review of Case Reports and Case Series

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