Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report
Nabeel Almadwahi,1,2 Emad Halboob1 1Department of Vascular Surgery, Al-Thawra Modern General Hospital, Sana’a, Yemen; 2Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, YemenCorrespondence: Nabeel Almadwahi, Department of vascular surgery, Al-Thawra Modern General Hospital, Faculty...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-11-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/open-surgical-repair-of-traumatic-subclavian-artery-pseudoaneurysm-a-c-peer-reviewed-fulltext-article-IMCRJ |
| _version_ | 1811303884408225792 |
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| author | Almadwahi N Halboob E |
| author_facet | Almadwahi N Halboob E |
| author_sort | Almadwahi N |
| collection | DOAJ |
| description | Nabeel Almadwahi,1,2 Emad Halboob1 1Department of Vascular Surgery, Al-Thawra Modern General Hospital, Sana’a, Yemen; 2Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, YemenCorrespondence: Nabeel Almadwahi, Department of vascular surgery, Al-Thawra Modern General Hospital, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, Yemen, Tel +967770983231, Email nabil8k2@gmail.comAbstract: Penetrating trauma involving the subclavian vessels is rare but associated with life- threatening sequelae, including hemomediastinum, formation of pseudoaneurysm and limb ischemia. Conventional open surgery and endovascular repairs are effective treatment modalities for subclavian-related injuries, but the latter has become more attractive owing to being less invasive and less procedure-related complications. We report a case with left subclavian artery pseudoaneurysm secondary to a bomb blast. The patient was successfully treated by surgical repairs using a combination of supra- and infraclavicular approaches. The patient recovered completely and discharged home on the third day. In a resource-limited setting, traditional surgical repair is an effective therapy for posttraumatic pseudoaneurysm, especially when the adjacent organs are compressed by the pseudoaneurysm. Vascular injury should be suspected once a patient presents with localized pulsatile mass in the clavicular region following roadside bomb blasts injuries.Keywords: subclavian artery, pseudoaneurysm, open surgery repair, aneurysm |
| first_indexed | 2024-04-13T07:56:12Z |
| format | Article |
| id | doaj.art-cd74438b0daf4ff48c7070425dc53b8d |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-04-13T07:56:12Z |
| publishDate | 2022-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-cd74438b0daf4ff48c7070425dc53b8d2022-12-22T02:55:24ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2022-11-01Volume 1567167579876Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case ReportAlmadwahi NHalboob ENabeel Almadwahi,1,2 Emad Halboob1 1Department of Vascular Surgery, Al-Thawra Modern General Hospital, Sana’a, Yemen; 2Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, YemenCorrespondence: Nabeel Almadwahi, Department of vascular surgery, Al-Thawra Modern General Hospital, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, Yemen, Tel +967770983231, Email nabil8k2@gmail.comAbstract: Penetrating trauma involving the subclavian vessels is rare but associated with life- threatening sequelae, including hemomediastinum, formation of pseudoaneurysm and limb ischemia. Conventional open surgery and endovascular repairs are effective treatment modalities for subclavian-related injuries, but the latter has become more attractive owing to being less invasive and less procedure-related complications. We report a case with left subclavian artery pseudoaneurysm secondary to a bomb blast. The patient was successfully treated by surgical repairs using a combination of supra- and infraclavicular approaches. The patient recovered completely and discharged home on the third day. In a resource-limited setting, traditional surgical repair is an effective therapy for posttraumatic pseudoaneurysm, especially when the adjacent organs are compressed by the pseudoaneurysm. Vascular injury should be suspected once a patient presents with localized pulsatile mass in the clavicular region following roadside bomb blasts injuries.Keywords: subclavian artery, pseudoaneurysm, open surgery repair, aneurysmhttps://www.dovepress.com/open-surgical-repair-of-traumatic-subclavian-artery-pseudoaneurysm-a-c-peer-reviewed-fulltext-article-IMCRJsubclavian arterypseudoaneurysmopen surgery repairaneurysm |
| spellingShingle | Almadwahi N Halboob E Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report International Medical Case Reports Journal subclavian artery pseudoaneurysm open surgery repair aneurysm |
| title | Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report |
| title_full | Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report |
| title_fullStr | Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report |
| title_full_unstemmed | Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report |
| title_short | Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report |
| title_sort | open surgical repair of traumatic subclavian artery pseudoaneurysm a case report |
| topic | subclavian artery pseudoaneurysm open surgery repair aneurysm |
| url | https://www.dovepress.com/open-surgical-repair-of-traumatic-subclavian-artery-pseudoaneurysm-a-c-peer-reviewed-fulltext-article-IMCRJ |
| work_keys_str_mv | AT almadwahin opensurgicalrepairoftraumaticsubclavianarterypseudoaneurysmacasereport AT halboobe opensurgicalrepairoftraumaticsubclavianarterypseudoaneurysmacasereport |