Isolated Subclavian Vein Injury: A Rare and High Mortality Case
Isolated subclavian vein injuries are rarely seen without concomitant arterial injury, bone fracture, damage to brachial plexus, and thoracal traumas. Our case was brought to the emergency service 6 hours after he had been shot at the shoulder with a firearm. After detection of extravasation from th...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/152762 |
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| author | Sahin Iscan Mustafa Etli Ozgur Gursu Esra Eker Helin El Kilic |
| author_facet | Sahin Iscan Mustafa Etli Ozgur Gursu Esra Eker Helin El Kilic |
| author_sort | Sahin Iscan |
| collection | DOAJ |
| description | Isolated subclavian vein injuries are rarely seen without concomitant arterial injury, bone fracture, damage to brachial plexus, and thoracal traumas. Our case was brought to the emergency service 6 hours after he had been shot at the shoulder with a firearm. After detection of extravasation from the left axillary and subclavian vein on arteriographic and venographic examinations, he was operated on. An autogenous saphenous vein graft was interposed between subclavian and axillary veins. Cardiac arrest developed twice because of hypovolemia, which was resolved with medical therapy. Subclavian vein injuries have a more mortal course when compared with the injuries to the subclavian arteries. Its most important reason is excessive blood loss and air embolism because of delayed arrival to hospital. As is the case in all vascular injuries, angiography is the most important diagnostic examination. If the general health state of the patient permits, arteriography and venography should be performed in patients potentially exposed to vascular injuries. In patients with extreme blood loss and deteriorated health state, direct surgical exploration of the injury site, containment of the bleeding, and venous repair are life-saving approaches. |
| format | Article |
| id | doaj-art-3ae2abc708044d3583235a0df1e5ac3e |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-3ae2abc708044d3583235a0df1e5ac3e2025-02-03T06:08:13ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/152762152762Isolated Subclavian Vein Injury: A Rare and High Mortality CaseSahin Iscan0Mustafa Etli1Ozgur Gursu2Esra Eker3Helin El Kilic4Department of Cardiovascular Surgery, Van Research and Education Hospital, Van 65100, TurkeyDepartment of Cardiovascular Surgery, Van Research and Education Hospital, Van 65100, TurkeyDepartment of Cardiovascular Surgery, Van Research and Education Hospital, Van 65100, TurkeyDepartment of Anesthesiology and Reanimation, Van Research and Education Hospital, Van 65100, TurkeyDepartment of Cardiovascular Surgery, Van Research and Education Hospital, Van 65100, TurkeyIsolated subclavian vein injuries are rarely seen without concomitant arterial injury, bone fracture, damage to brachial plexus, and thoracal traumas. Our case was brought to the emergency service 6 hours after he had been shot at the shoulder with a firearm. After detection of extravasation from the left axillary and subclavian vein on arteriographic and venographic examinations, he was operated on. An autogenous saphenous vein graft was interposed between subclavian and axillary veins. Cardiac arrest developed twice because of hypovolemia, which was resolved with medical therapy. Subclavian vein injuries have a more mortal course when compared with the injuries to the subclavian arteries. Its most important reason is excessive blood loss and air embolism because of delayed arrival to hospital. As is the case in all vascular injuries, angiography is the most important diagnostic examination. If the general health state of the patient permits, arteriography and venography should be performed in patients potentially exposed to vascular injuries. In patients with extreme blood loss and deteriorated health state, direct surgical exploration of the injury site, containment of the bleeding, and venous repair are life-saving approaches.http://dx.doi.org/10.1155/2013/152762 |
| spellingShingle | Sahin Iscan Mustafa Etli Ozgur Gursu Esra Eker Helin El Kilic Isolated Subclavian Vein Injury: A Rare and High Mortality Case Case Reports in Vascular Medicine |
| title | Isolated Subclavian Vein Injury: A Rare and High Mortality Case |
| title_full | Isolated Subclavian Vein Injury: A Rare and High Mortality Case |
| title_fullStr | Isolated Subclavian Vein Injury: A Rare and High Mortality Case |
| title_full_unstemmed | Isolated Subclavian Vein Injury: A Rare and High Mortality Case |
| title_short | Isolated Subclavian Vein Injury: A Rare and High Mortality Case |
| title_sort | isolated subclavian vein injury a rare and high mortality case |
| url | http://dx.doi.org/10.1155/2013/152762 |
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