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KMID : 0360720150280030219
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Journal of the Korean Society Traumatology
2015 Volume.28 No. 3 p.219 ~ p.221
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Traumatic Subclavian Artery Dissection in Clavicle Fracture Due to Blunt Injury: Surgery or Stent in Long Segment Occlusion?
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Chon Soon-Ho
Yie Kil-Soo
Kang Jae-Geul
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Abstract
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Subclavian injuries in blunt trauma are reported in less than 1% of all arterial injuries or chest related injuries. We report a female 68 yr-old patient whom has visited our emergency center due to a motorcycle traffic accident with complaints of right chest wall and shoulder pain. Her injury severity score was 22 and she was found with a comminuted clavicle fracture and subclavian artery injury. She developed delayed symptoms of pallor, pain and motor weakness with loss of pulse in her right arm. Attempts at intervention failed and thus, she underwent emergency artificial graft bypass from her subclavian artery to her brachial artery. Her postoperative course was uneventful and she is happy with the results. Although rare, a high index of suspicion for the injury must be noted and the inevitable surgical option must always be considered.
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KEYWORD
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Sublavian artery, Clavicle fracture, Bypass graft
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