Delayed Subclavian Artery Aneurysm Following Fixation of a Clavicular Fracture.

Vasc Endovascular Surg

1 Royal Army Medical Corps, Keogh Barracks, Aldershot, United Kingdom.

Published: August 2018

AI Article Synopsis

  • Aneurysms of the subclavian artery are uncommon but can lead to serious complications, including threats to limb and life.
  • Delayed diagnosis can worsen outcomes, making it crucial for primary care providers to screen for these aneurysms, especially in patients with recent clavicle trauma and vascular symptoms.
  • The case of a left subclavian artery aneurysm, complicated by radial artery thrombus after clavicle injury, highlights the need for a two-stage surgical approach and emphasizes the importance of early detection in primary care.

Article Abstract

Aneurysms of the subclavian artery are rare phenomena that have the potential for limb and life-threatening complications. Delayed diagnosis increases the risk of life-threatening complications or at the very least may result in a detrimental effect to both functional capacity and quality of life; primary care offers a vital opportunity to screen for such rare vascular complications and should be a consideration in all patients with evolving peripheral nerve or vascular symptoms with a history of localized clavicular trauma. We present the case of a left subclavian artery aneurysm with radial artery thrombotic sequelae following an injury and screw-plate fixation of his left clavicle. This required a 2-stage surgical approach to treatment and provides useful learning considerations for identifying rare vascular anomalies early in a primary care setting.

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Source
http://dx.doi.org/10.1177/1538574418770105DOI Listing

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