Pseudoaneurysm of the subclavian artery following clavicle fracture due to blunt traumatism: a case report.
Clavicle fractures
pseudoaneurysm
subclavian artery
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2020
2020
Historique:
received:
12
03
2020
accepted:
11
05
2020
entrez:
22
10
2020
pubmed:
23
10
2020
medline:
7
1
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 33088391
doi: 10.11604/pamj.2020.36.262.22320
pii: PAMJ-36-262
pmc: PMC7545982
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
262Informations de copyright
Copyright: Hicham Belmir et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
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