AI Article Synopsis
- Vascular complications from midshaft clavicle fracture surgeries are uncommon, but they can occur even years later.
- A case study of a woman in her 30s revealed a pseudoaneurysm of the right subclavian artery, developed 10 years post-surgery, presenting as a rapidly growing neck mass.
- After endovascular repair and multiple thrombectomies, the patient now requires lifelong anticoagulation, emphasizing the need for careful monitoring of patients with a history of clavicular fractures.
Article Abstract
Vascular complications are relatively rare following surgical fixation of midshaft clavicle fractures. Here, we report a case of a woman in her 30s presenting 10 years after right clavicular open reduction and internal fixation with revision 6 years prior with sudden and rapidly progressive neck swelling. Physical examination revealed a soft pulsating mass in her right supraclavicular fossa. Ultrasound and CT angiography of the head and neck showed a pseudoaneurysm of her right subclavian artery with a surrounding haematoma. She was admitted to the vascular surgery team for endovascular repair with stenting. Postoperatively, she developed arterial thrombi requiring thrombectomy (twice) and is now on lifelong anticoagulation. It is crucial to be aware of complications that can develop in patients with a history of clavicular fracture managed non-operatively or operatively even years later and highlights the importance of risk and benefit discussions and counselling.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163432 | PMC |
| http://dx.doi.org/10.1136/bcr-2022-252430 | DOI Listing |
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