Subclavian artery and vein injury following clavicle fracture due to blunt trauma

Raviraja, A.; Chandrashekar, C.M.; Roshan, Shah; Srinivas, J.

doi:10.1016/j.injury.2008.10.041

Cited by 6 publications

(2 citation statements)

References 7 publications

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“…To the best of authors´ knowledge, the incidence of subclavian vascular injury in closed fractures of clavicle has not been documented in the literature [ 3 ]. The incriminated mechanism is due to the direct consequences of the traumatism at the level of the top of the thorax, especially if a fracture of the clavicle is associated which would be responsible of an intimale hurt, even a partial section of the artery which would be responsible of the artery´s pseudoaneurysm [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the subclavian artery following clavicle fracture due to blunt traumatism: a case report

Belmir¹,

Chagou²,

Tijani³

et al. 2020

Pan Afr Med J

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The clavicle fractures are frequent, vascular injuries associated with closed fractures of clavicle are rare. The pseudoaneurysms of the subclavian artery constitute an exceptional complication. We report a case of a 40-year-old who presented an expanding hematoma of the right side of the neck after a road traffic accident. Radiography of the right shoulder showed a midclavicular fracture. An arterial doppler of vessels showed a circulating hematoma in the contact of the right subclavian artery with a correct distality flow. Computed tomographic angiogram of the chest confirmed the diagnosis of a false aneurysm in the postvertebral portion of the right subclavian artery. The treatment was surgical and consisted of excision of the false aneurysm and a repair of the arterial injury by an arterial patch, the clavicle was fixed with a reconstruction plate and screws. Early intervention appears to be indicated due to the risk of thrombo-embolic complications. Endovascular repair appears to be the preferred treatment modalities, due to a lower rate of cardiopulmonary complications, but it is reserved for much selected cases.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the subclavian artery following clavicle fracture due to blunt traumatism: a case report

Belmir¹,

Chagou²,

Tijani³

et al. 2020

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…Clavicle fractures are extremely common, accounting for up to 2.6-12% of all fractures [1][2][3][4] and 44-66% of all fractures about the shoulder. Clavicle fractures have several classification schemes [2,[5][6][7][8] and are generally classified into three groups based on their locations [6].…”

Section: Introductionmentioning

confidence: 99%