Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review
Subclavian artery pseudoaneurysms are rare but potentially life-threatening vascular injuries frequently associated with trauma such as clavicle fractures. In this paper we describe the case of a 49-year-old male who developed a post-traumatic pseudoaneurysm of the subclavian artery after a bicycle...
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2025-01-01
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| author | Małgorzata Edyta Wojtyś Patryk Skórka Dawid Kordykiewicz Aleksander Falkowski Joanna Jakubowska-Grzeszyk Janusz Wójcik Edward Michael Wojtys |
| author_facet | Małgorzata Edyta Wojtyś Patryk Skórka Dawid Kordykiewicz Aleksander Falkowski Joanna Jakubowska-Grzeszyk Janusz Wójcik Edward Michael Wojtys |
| author_sort | Małgorzata Edyta Wojtyś |
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| description | Subclavian artery pseudoaneurysms are rare but potentially life-threatening vascular injuries frequently associated with trauma such as clavicle fractures. In this paper we describe the case of a 49-year-old male who developed a post-traumatic pseudoaneurysm of the subclavian artery after a bicycle accident. The diagnosis was delayed due to non-specific symptoms and an initially missed aneurysm on computed tomography imaging. Persistent pain, swelling, and erythema in the subclavian region prompted further detailed diagnostics, which ultimately revealed the pseudoaneurysm. The patient was successfully treated with endovascular stent–graft implantation. We screened the PubMed database to identify similar cases managed exclusively through endovascular intervention. Reports of iatrogenic pseudoaneurysms and those treated with open surgery were excluded. Variables such as time to diagnosis, clinical presentation, features of pseudoaneurysms, and complications were analyzed to highlight the role of endovascular techniques as a minimally invasive and effective treatment option. These cases pose both a diagnostic and a therapeutic challenge, as early recognition of symptoms is crucial to prevent serious complications including thrombosis, neurological deficits, and even limb loss. |
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| institution | Kabale University |
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| language | English |
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| spelling | doaj-art-16166d7ab9e74becb3e5a446b8d61d8d2025-01-24T13:24:19ZengMDPI AGBiomedicines2227-90592025-01-0113118710.3390/biomedicines13010187Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature ReviewMałgorzata Edyta Wojtyś0Patryk Skórka1Dawid Kordykiewicz2Aleksander Falkowski3Joanna Jakubowska-Grzeszyk4Janusz Wójcik5Edward Michael Wojtys6Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, PolandDepartment of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, PolandDepartment of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, PolandDepartment of General, Dental and Interventional Radiology, Pomeranian Medical University in Szczecin, Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Radiology, SPWSZ in Szczecin, Sokołowskiego 11, 70-891 Szczecin, PolandDepartment of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, PolandDepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USASubclavian artery pseudoaneurysms are rare but potentially life-threatening vascular injuries frequently associated with trauma such as clavicle fractures. In this paper we describe the case of a 49-year-old male who developed a post-traumatic pseudoaneurysm of the subclavian artery after a bicycle accident. The diagnosis was delayed due to non-specific symptoms and an initially missed aneurysm on computed tomography imaging. Persistent pain, swelling, and erythema in the subclavian region prompted further detailed diagnostics, which ultimately revealed the pseudoaneurysm. The patient was successfully treated with endovascular stent–graft implantation. We screened the PubMed database to identify similar cases managed exclusively through endovascular intervention. Reports of iatrogenic pseudoaneurysms and those treated with open surgery were excluded. Variables such as time to diagnosis, clinical presentation, features of pseudoaneurysms, and complications were analyzed to highlight the role of endovascular techniques as a minimally invasive and effective treatment option. These cases pose both a diagnostic and a therapeutic challenge, as early recognition of symptoms is crucial to prevent serious complications including thrombosis, neurological deficits, and even limb loss.https://www.mdpi.com/2227-9059/13/1/187pseudoaneurysmsubclavian arteryendovascular treatmentclavicular fracture |
| spellingShingle | Małgorzata Edyta Wojtyś Patryk Skórka Dawid Kordykiewicz Aleksander Falkowski Joanna Jakubowska-Grzeszyk Janusz Wójcik Edward Michael Wojtys Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review Biomedicines pseudoaneurysm subclavian artery endovascular treatment clavicular fracture |
| title | Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review |
| title_full | Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review |
| title_fullStr | Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review |
| title_full_unstemmed | Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review |
| title_short | Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review |
| title_sort | post traumatic left subclavian artery pseudoaneurysm secondary to clavicular fracture a case report and literature review |
| topic | pseudoaneurysm subclavian artery endovascular treatment clavicular fracture |
| url | https://www.mdpi.com/2227-9059/13/1/187 |
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