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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2002 / Cilt: 10 - Sayı: 2

Blunt injury to the subclavian artery: Case report

Künt travma sonrası meydana gelen subklavyan arter yaralanması. Olgu sunumu

Hasan KARABULUT
Fevzi TORAMAN
Ufuk NALBANTOĞLU
Sinan DAĞDELEN
Cem ALHAN
Pages
120–122
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both patients had an uneventful recovery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Although they are rare, subclavian artery injuries carry a high rate of mortality and morbidity.
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Key Findings & Data:We report on two male patients aged 27 and 29 who were admitted to the emergency department of our hospital following blunt trauma.
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Conclusion & Impact:Both patients had an uneventful recovery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Although they are rare, subclavian artery injuries carry a high rate of mortality and morbidity. Nonpenetrating injuries differ from the penetrating injuries by affecting the mid and the distal portion of the vessel. We report on two male patients aged 27 and 29 who were admitted to the emergency department of our hospital following blunt trauma. The arterial pulses were absent in the right upper extremity in both patients. They underwent doppler and angiographic evaluation. Angiography revealed a 5 cm long thrombotic segment in the distal portion and a 3 cm long thrombotic segment in the mid portion of the subclavian artery in two patients, respectively The brachial plexus was injured in both patients. Subclavian-axillary artery bypass and right carotid-subclavian artery bypass with 6 mm polytetraflowrethylene (PTFE) graft were performed, respectively. Both patients had an uneventful recovery.

Özet

Subklavyan arter (SKA) yaralanmaları nadir vasküler yaralanmalar olup, yüksek mortalite ve morbidite gösterirler. Künt travmalarsubklavyan arterin orta ve son bülümünde yaralanmalara neden olması ile delici travmalardan farklılık gösterir. Hastanemiz acil servisine künt travma sonucunda müracaat eden biri 27, diğeri 29 yaşındaki iki erkek hastanın yapılan muayeneleri sonucunda sağ kolda distal nabızların alınamaması üzerine önce doppler, arkasından periferik anjiyografi yapıldı. Anjiyografide, birinci olguda subklavyan arterin distalinde 5 santimetrelik bir segmentin trombüs ile dolu olduğu saptandı. İkinci olguda ise subklavyan arterin orta bölümünde yaklaşık 3 santimetrelik trombüs belirlendi. Aynı zamanda brakiyal pleksus yaralanması da bulunan her iki olgu operasyona alındı. Birinci olguya 6 mm polytetraflowrethylene (PTFE) greft kullanılarak subklavyan-aksiller, ikinci olguya ise 6 mm polytetraflowrethylene greft kullanılarak sağ karotiko-subklavyan bypass uygulandı. Operasyon sonrası komplikasyon gelişmeyen heriki olgu taburcu edildi.

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Cite This Article

KARABULUT, H., TORAMAN, F., NALBANTOĞLU, U., DAĞDELEN, S., ALHAN, C. (2022). Blunt injury to the subclavian artery: Case report. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 10 - Sayı: 2, 120–122. https://ajindex.com/articles/425458

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