International Medical Case Reports Journal (Nov 2022)
Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report
Abstract
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 [email protected]: 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
