Subclavian artery avulsion following blunt trauma: A case report and literature review

International Journal of Surgery Case Reports
Adel ElkbuliDessy Boneva

Abstract

Subclavian artery injuries are rare and are associated with a high morbidity and mortality. The majority of patients with blunt trauma to the subclavian artery succumb to their injury before reaching a hospital. In-hospital mortality remains high. We report the case of a 30-year-old male who presented with complete traumatic subclavian artery avulsion after a motorcycle collision. He presented in hemorrhagic shock. Temporary hemostatic control was achieved with endovascular balloon occlusion followed by operative intervention. Prompt diagnosis and meticulous management including early transfusion, when indicated, are necessary to salvage both the patient's life and limb from such severe injuries. Intra-operative diagnosis of subclavian artery injury is most common due to the hemodynamic instability of most patients with such injuries; however, conventional angiography and computed tomography angiography are useful diagnostic modalities as well. Temporizing measures such as endovascular balloon occlusion to obtain vascular control may serve as a valuable adjunct to surgical repair. Repair of a subclavian artery injury is challenging for even the most experienced of surgeons. Endovascular techniques can be therapeutic or used as ...Continue Reading

References

Feb 1, 1967·The Annals of Thoracic Surgery·C P Clarke, G L Allen
Sep 1, 1984·The Annals of Thoracic Surgery·J T SturmJ F Perry
Dec 22, 1999·The British Journal of Surgery·A G McKinleyJ V Robbs
Jun 25, 2005·Surgery Today·Murat AksoyMehmet Kurtoglu
Dec 22, 2005·The Annals of Thoracic Surgery·Emmanouil I KapetanakisJennifer L Ellis
Sep 16, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·James V O'ConnorDavid G Neschis
Oct 30, 2010·Journal of Vascular Surgery·Johann M ZdolsekGeraldine Margaret Mitchell
Jun 20, 2012·World Journal of Emergency Surgery : WJES·Marco AssenzaClaudio Modini
May 9, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R Jacks, E Degiannis
Jul 18, 2017·The Journal of Trauma and Acute Care Surgery·Christine J WallerKelly Lightwine
May 17, 2018·Trauma Surgery & Acute Care Open·David V Feliciano
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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Citations

Dec 13, 2019·OTA International : the Open Access Journal of Orthopaedic Trauma·Joseph T LabrumWilliam T Obremskey
Jul 23, 2021·Jornal Vascular Brasileiro·Adenauer Marinho de Oliveira GóesCarlos Alberto Costa do Amaral

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