Subclavian artery injury secondary to blunt trauma successfully managed by median sternotomy with supraclavicular extension: A case report and literature review

Elkbuli, Adel; Kinslow, Kyle; Dowd, Brianna; McKenney, Mark; Boneva, Dessy; Whitehead, John

doi:10.1016/j.amsu.2020.03.012

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…En otras ocasiones estas lesiones pasan inadvertidas aumentando el riesgo de complicaciones. La lesión de arteria subclavia es poco frecuente, pero su ocurrencia conlleva una alta mortalidad por su difícil abordaje y frecuentemente se hace necesario la esternotomía o incisión en libro abierto del tórax 12,13 .…”

Section: Discussionunclassified

Caracterización del traumatismo vascular en un hospital de segundo nivel de Ecuador. Estudio de tres años

Valdés-Dupeyron¹,

Castillo²,

González-Robles³

et al. 2022

RMA

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Introducción: El traumatismo vascular constituye una entidad de importancia en los servicios de emergencia por su alta incidencia de complicaciones. Objetivo: Caracterizar el traumatismo vascular en un hospital de segundo nivel de Ecuador durante el periodo julio 2017-julio 2020. Material y métodos: Se realizó un estudio descriptivo, transversal y correlacional que incluyó 45 pacientes. Se calcularon medidas de tendencia central como media y desviación estándar de la variable cuantitativa edad, así como las frecuencias absolutas y relativas para las demás variables. Resultados: Predominaron los jóvenes de sexo masculino. Resultó más frecuente el trauma penetrante por arma blanca y accidentes de tránsito. La mayoría de los diagnósticos se realizó por sospecha clínica. La técnica quirúrgica de mayor empleo fue la revascularización con vena safena invertida en trece pacientes. Conclusiones: Predominaron los traumatismos vasculares de arteria humeral por mecanismos penetrantes en jóvenes de sexo masculino y de procedencia urbana, solucionados por revascularización con vena safena.

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Section: Discussionunclassified

Caracterización del traumatismo vascular en un hospital de segundo nivel de Ecuador. Estudio de tres años

Valdés-Dupeyron¹,

Castillo²,

González-Robles³

et al. 2022

RMA

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“…Blunt trauma, causing damage to the subclavian arteries, is rare with a reported incidence of less than 1% of all arterial injuries of thoracic traumatic injuries [2] and it is usually associated with other major injuries. The necessity of immediate identification and appropriate surgical approach for repair is mandatory because such injuries carry high rates of mortality and morbidity [1]. In general, the proper management of the subclavian artery injury depends on the mechanism and extension of the injury.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the active hemorrhage, and the lack of endovascular devices, we decided for an open approach with a superior clavicular incision, osteotomy of the middle third of the clavicle exposing the right subclavian artery, performing a fast repair of the artery laceration. In general, the prognosis is favorable for patients successfully treated with vascular repair [1,4].…”

Section: Discussionmentioning

confidence: 99%

“…The subclavian arteries are protected by the clavicles, ribs, and chest wall. The clinical management and surgical approach vary depending on the specific lesion [1]. We report a blunt trauma case with open right clavicle fracture and subclavian artery injury accompanied by hemorrhage in a patient with situs inversus totalis.…”

Section: Introductionmentioning

confidence: 99%

“…Subclavian artery injury secondary to blunt trauma is a rare condition [1]. In a 6-year follow-up of 167 patients www.ijcasereportsandimages.com Carregal et al 2…”

Section: Introductionmentioning

confidence: 99%

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Right subclavian artery injury secondary to blunt trauma successfully treated in a patient with situs inversus totalis: Case report

Carregal¹,

Rabelo²,

Amara³

et al. 2021

Int J Case Rep Images

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Introduction: Subclavian artery injury secondary to blunt trauma is rare. Most patients with blunt trauma that affects the major vessels die before reaching the hospital due to trauma kinematics. Appropriate intervention requires immediate identification and proper surgical approach. The intraoperative diagnosis is more common due to the hemodynamic instability of most patients; however, conventional angiography and computed tomography (CT) angiography are also useful diagnostic modalities in stable patients to determine the location of the injury prior to surgery. We present a case of blunt trauma associated with situs inversus totalis which is a rare congenital condition characterized by complete transposition of the thoracic and abdominal viscera.

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Subclavian Artery: Anatomic Review and Imaging Evaluation of Abnormalities

2022

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Subclavian artery injury secondary to blunt trauma successfully managed by median sternotomy with supraclavicular extension: A case report and literature review

Cited by 5 publications

References 9 publications

Caracterización del traumatismo vascular en un hospital de segundo nivel de Ecuador. Estudio de tres años

Caracterización del traumatismo vascular en un hospital de segundo nivel de Ecuador. Estudio de tres años

Right subclavian artery injury secondary to blunt trauma successfully treated in a patient with situs inversus totalis: Case report

Subclavian Artery: Anatomic Review and Imaging Evaluation of Abnormalities

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