Cihad SÖNMEZ, Kasım TURGUT, Erdal YAVUZ, Umut GÜLAÇTI, Uğur LÖK, İrfan AYDIN

A Rare Injury Due to Blunt Trauma: Rupture of Subclavian Artery Branch

Subclavian artery injury is an extremely rare and life-threatening condition. In this case, we discussed the diagnosis and treatment of the subclavian artery branch injury due to chronic blunt trauma caused by inappropriate traditional physical therapy. A 72-year-old male patient was admitted to the emergency department with sudden onset of pain and swelling in the left chest wall after inappropriate traditional physical therapy. He had a medical history of hemorrhagic stroke causing paralysis in his right arm and right leg. Muscle tension exercises were given to the patient by his relatives with the mechanism they built. Pulses were normal in the left upper extremity, and there was no difference in temperature and diameter between both upper extremities. The patient diagnosed with left subclavian artery branch rupture with computed tomography angiography was followed up with compression therapy without any surgical intervention and discharged with full recovery.

Keywords:

subclavian artery, blunt trauma, Rupture of Subclavian Artery Branch,

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1. Muhip K, Şadan Y, Salih T, Ersan Ö, Turan B. Delayed Presentation of A Penetrating Subclavian Arterial Injury: Case Report. ADU Tıp Fakültesi Dergisi 2006;7(2):43- 45
2. Cox CS, Allen GS, Fischer RP, Conklin LD, Duke JH, Cocanour CS, et al. Blunt versus penetrating subclavian artery injury: presentation, injury pattern, and outcome. J Trauma 1999;46:445-9
3. Demetriades D, Rabinowitz B, Pezikis A, et al. Subclavian vascular injuries. Br J Surg 1987;74:1001
4. Demetriades D, Chahwan S, Gomez H, et al . Penetrating injuries to the subclavian and axillary vessels. J Am Coll Surg 1999;188:290-5
5. Barão, T., Queiroz, A. B., Apoloni, R., Ricardo, A., & Nelson, D. L. (2015). Endovascular repair of traumatic subclavian artery injuries: a single-center experience. Journal of Vascular Medicine & Surgery, 1-4.
6. Kumar M. Babu A, Ranjan P et al. Traumatic Subclavian Artery Injury Causing Large Extrapleural Haematoma Managed Nonoperatively-A Case Report. Medical Science;2015: 4 (2)
7. Rulliat, E., Ndiaye, A., David, J. S., Voiglio, E. J., Lieutaud, T. (2011). Subclavian artery rupture after road crash: many similitaries. In Annales francaises d'anesthesie et de reanimation 30;(12): 909-913.
8. Baikoussis, N. G., Siminelakis, S. N., Matsagas, M., & Michalis, L. K. (2010). Massive haemothorax due to subclavian artery rupture: Emergency thoracotomy or primary stent-grafting?. Heart, Lung, and Circulation 19(7), 431.