Left subclavian artery pseudoaneurysm after blunt chest trauma with left upper extremity ischemia

Authors

Muddasir Ashraf, Advocate Aurora HealthFollow
Irina Goncharova, Advocate Aurora HealthFollow
M. Fuad Jan, Advocate Aurora HealthFollow
Lakshmi Muthukumar, Advocate Aurora HealthFollow
Tanvir Bajwa, Advocate Aurora HealthFollow
Mark Mewissen, Advocate Aurora HealthFollow

Recommended Citation

Ashraf M, Goncharova I, Jan MF, Muthukumar L, Bajwa T, Mewissen M. Left subclavian artery pseudoaneurysm after blunt chest trauma with left upper extremity ischemia. J Vasc Surg Cases Innov Tech. 2023;9(3):101177. Published 2023 Apr 6. doi:10.1016/j.jvscit.2023.101177

Affiliations

Aurora Sinai/Aurora St. Luke's Medical Centers

Abstract

We describe a 74-year-old male with delayed onset of acute left upper extremity ischemia after blunt chest trauma with left clavicular fracture, resulting in left subclavian artery injury, including pseudoaneurysm formation, intramural hematoma, thrombosis, and distal embolization to the brachial artery. The patient presented with left upper extremity pain, forearm and hand numbness, and digital cyanosis. The patient was treated with a hybrid approach, consisting of transfemoral percutaneous deployment of a covered stent in the left subclavian artery and concomitant surgical thrombectomy of the left brachial artery, resulting in excellent recovery and resolution of symptoms.

Type

Article

PubMed ID

37388666