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HOME > J Trauma Inj > Volume 28(3); 2015 > Article
Traumatic Subclavian Artery Dissection in Clavicle Fracture Due to Blunt Injury: Surgery or Stent in Long Segment Occlusion?
Soon Ho Chon, Kilsoo Yie, Jae Gul Kang
Journal of Trauma and Injury 2015;28(3):219-221
DOI: https://doi.org/10.20408/jti.2015.28.3.219
Published online: September 30, 2015
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Department of Thoracic and Cardiovascular Surgery, Cheju Halla Hospital, Jeju, South Korea. sh.chon@hotmail.com
Received: 26 July 2015   • Revised: 24 August 2015   • Accepted: 4 October 2015

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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