Abstract
Subclavian artery injuries are rare and associated with blunt injuries and can result in puncture and pseudoaneurysm formation requiring urgent management. Different treatment modalities are there, but open surgical repair remains the best choice. A 35-year-old male patient presented to us with a huge swelling over the right side of the anterior chest wall for three months following fracture of the clavicle six months back. On evaluation, it was found to be right subclavian artery pseudoaneurysm of size 14 cm × 14.8 cm × 11.2 cm. Surgery was done with arteriotomy on the right brachial artery with passage of the Fogarty catheter past the pseudoaneurysm and balloon inflated to control the proximal part of the artery and supraclavicular incision given to excise the pseudoaneurysm as well as repair the artery with an autologous venous graft. Surgical repair of the pseudoaneurysm of the subclavian artery with the use of the Fogarty catheter to control the proximal part of artery is a simple, innovative and minimal invasive approach alternative to major surgical procedure, thereby reducing the morbidity and other inadvertent complications.
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References
Demetriades D, Asensio JA (2001) Subclavian and axillary vascular injuries. Surg Clin North Am 81:1357–1373. PubMed
Sturm JT, Cicero JJ (1983) The clinical diagnosis of ruptured subclavian artery following blunt thoracic trauma. Ann Emerg Med 12(1):17–19. PubMed
Marin ML, Veit FJ, Panetta TF et al (1993) Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula. J Vasc Surg 18:299–302
Krueger K, Zaehringer M, Strohe D, Stuetzer H, Boecker J, Lackner K (2005) Postcatheterization pseudoaneurysm: results of US-guided percutaneous thrombin injection in 240 patients. Radiology 236:1104–1110. PubMed
May J, White G, Waugh R, Yu W, Harris J (1993) Transluminal placement of a prosthetic graft-stent device for treatment of subclavian artery aneurysm. J Vasc Surg 18:1056–1059
Assali AR, Sdringola S, Moustapha A, Rihner M, Denktas AE, Lefkowitz MA, Campbell M, Smalling RW (2001) Endovascular repair of traumatic pseudoaneurysm by uncovered self-expandable stent with or without transstent coiling of the aneurysm cavity. Catheter Cardiovasc Interv 53:253–258
Dougherty MJ, Calligaro KD, Savarese RP, DeLaurentis DA (1995) Atherosclerotic aneurysm of the intrathoracic subclavian artery: a case report and review of the literature. J Vasc Surg 21:521–529. PubMed
Ernst CB. Trans-sternal exposure of the great vessels of the aortic arch. In: Haimovici H, Ascer E, Hollier LH, Strandness DE, Towne JB, eds. Haimovici’s vascular surgery, 4th edn. Blackwell Science Inc., New York, 1996; 365–372
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Sahoo, S.P., Pattnaik, M.K. Use of Fogarty Catheter in the Surgical Treatment of Traumatic Pseudoaneurysm of the Subclavian Artery: a Simple and Minimal Invasive Approach. Indian J Surg 80, 624–626 (2018). https://doi.org/10.1007/s12262-018-1772-x
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DOI: https://doi.org/10.1007/s12262-018-1772-x