Acute traumatic subclavian artery thrombosis and its successful repair via resection and end-to-end anastomosis / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 255-256, 2010.
Artigo
em Inglês
| WPRIM
| ID: wpr-272908
ABSTRACT
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artéria Subclávia
/
Cirurgia Geral
/
Trombose
/
Ferimentos e Lesões
/
Anastomose Cirúrgica
/
Clavícula
/
Fraturas Ósseas
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2010
Tipo de documento:
Artigo
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