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Pseudoaneurysm of the subclavian artery following clavicle fracture due to blunt traumatism: a case report.
- Source :
-
The Pan African medical journal [Pan Afr Med J] 2020 Aug 11; Vol. 36, pp. 262. Date of Electronic Publication: 2020 Aug 11 (Print Publication: 2020). - Publication Year :
- 2020
-
Abstract
- 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.<br />Competing Interests: The authors declare no competing interests.<br /> (Copyright: Hicham Belmir et al.)
- Subjects :
- Adult
Aneurysm, False etiology
Aneurysm, False surgery
Bone Plates
Bone Screws
Computed Tomography Angiography
Fractures, Closed surgery
Humans
Male
Radiography
Wounds, Nonpenetrating complications
Aneurysm, False diagnostic imaging
Clavicle injuries
Fractures, Closed diagnostic imaging
Subclavian Artery injuries
Subjects
Details
- Language :
- English
- ISSN :
- 1937-8688
- Volume :
- 36
- Database :
- MEDLINE
- Journal :
- The Pan African medical journal
- Publication Type :
- Report
- Accession number :
- 33088391
- Full Text :
- https://doi.org/10.11604/pamj.2020.36.262.22320