Pallett Scott John Charles, Singh Isabelle, Rady Neveen, Goshai Hemprakesh
1 Royal Army Medical Corps, Keogh Barracks, Aldershot, United Kingdom.
2 Defence Medical Services, DMS Whittington, Lichfield, United Kingdom.
Vasc Endovascular Surg. 2018 Aug;52(6):459-462. doi: 10.1177/1538574418770105. Epub 2018 Apr 26.
Aneurysms of the subclavian artery are rare phenomena that have the potential for limb and life-threatening complications. Delayed diagnosis increases the risk of life-threatening complications or at the very least may result in a detrimental effect to both functional capacity and quality of life; primary care offers a vital opportunity to screen for such rare vascular complications and should be a consideration in all patients with evolving peripheral nerve or vascular symptoms with a history of localized clavicular trauma. We present the case of a left subclavian artery aneurysm with radial artery thrombotic sequelae following an injury and screw-plate fixation of his left clavicle. This required a 2-stage surgical approach to treatment and provides useful learning considerations for identifying rare vascular anomalies early in a primary care setting.
锁骨下动脉瘤是一种罕见的现象，有可能导致肢体和危及生命的并发症。延迟诊断会增加危及生命并发症的风险，或者至少可能对功能能力和生活质量产生不利影响；初级保健提供了筛查此类罕见血管并发症的重要机会，对于所有有周围神经或血管症状且有锁骨局部创伤史的患者都应予以考虑。我们报告一例左锁骨下动脉瘤病例，该患者在左锁骨受伤并进行螺钉钢板固定后出现桡动脉血栓形成后遗症。这需要分两阶段进行手术治疗，并为在初级保健环境中早期识别罕见血管异常提供了有益的经验教训。
