TY - JOUR
T1 - Acute traumatic subclavian artery thrombosis and its successful repair via resection and end-to-end anastomosis
AU - Fatimi, Saulat H.
AU - Anees, Amna
AU - Muzaffar, Marium
AU - Hanif, Hashim M.
PY - 2010/8/1
Y1 - 2010/8/1
N2 - Subclavian artery thrombosis is a rare complication of clavicle fractures. We reported a 20-year-old man who was admitted to the emergency room after a road traffic accident. He was a pedestrian who was initially hit by a bus and after he fell down on the road, he was run over by a car. On evaluation, he was found to have multiple facial and rib fractures, distal right humerus and right clavicle fracture. Significantly, right radial pulse was absent. After further evaluation including Doppler studies and an angiography which revealed complete obstruction of right subclavian artery just distal to its 1st portion, the patient was urgently taken to the operation room. A midclavicular fracture was adjacent to the injured vessel. We established proximal and distal control, removed damaged part. After mobilizing the subclavian artery, an end-to-end anastomosis was made. Then open reduction and internal fixation of right distal humerus was performed. The rest of the postoperative course was unremarkable. To prevent complications of subclavian artery thrombosis, different treatment modalities can be used, including anticoagulation therapy, angioplasty, stenting and bypass procedures.
AB - Subclavian artery thrombosis is a rare complication of clavicle fractures. We reported a 20-year-old man who was admitted to the emergency room after a road traffic accident. He was a pedestrian who was initially hit by a bus and after he fell down on the road, he was run over by a car. On evaluation, he was found to have multiple facial and rib fractures, distal right humerus and right clavicle fracture. Significantly, right radial pulse was absent. After further evaluation including Doppler studies and an angiography which revealed complete obstruction of right subclavian artery just distal to its 1st portion, the patient was urgently taken to the operation room. A midclavicular fracture was adjacent to the injured vessel. We established proximal and distal control, removed damaged part. After mobilizing the subclavian artery, an end-to-end anastomosis was made. Then open reduction and internal fixation of right distal humerus was performed. The rest of the postoperative course was unremarkable. To prevent complications of subclavian artery thrombosis, different treatment modalities can be used, including anticoagulation therapy, angioplasty, stenting and bypass procedures.
KW - Carcinoma, renal cell
KW - Intra-bronchial mass
KW - Pulmonary atelectasis
UR - http://www.scopus.com/inward/record.url?scp=77956801991&partnerID=8YFLogxK
U2 - 10.3760/cma.j.issn.1008-1275.2010.04.014
DO - 10.3760/cma.j.issn.1008-1275.2010.04.014
M3 - Article
C2 - 20670587
AN - SCOPUS:77956801991
SN - 1008-1275
VL - 13
SP - 255
EP - 256
JO - Chinese Journal of Traumatology - English Edition
JF - Chinese Journal of Traumatology - English Edition
IS - 4
ER -