Ashraf Muddasir, Goncharova Irina, Jan M Fuad, Muthukumar Lakshmi, Bajwa Tanvir, Mewissen Mark
Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora Health; and the University of Wisconsin School of Medicine and Public Health, Milwaukee, WI.
J Vasc Surg Cases Innov Tech. 2023 Apr 6;9(3):101177. doi: 10.1016/j.jvscit.2023.101177. eCollection 2023 Sep.
We describe a 74-year-old male with delayed onset of acute left upper extremity ischemia after blunt chest trauma with left clavicular fracture, resulting in left subclavian artery injury, including pseudoaneurysm formation, intramural hematoma, thrombosis, and distal embolization to the brachial artery. The patient presented with left upper extremity pain, forearm and hand numbness, and digital cyanosis. The patient was treated with a hybrid approach, consisting of transfemoral percutaneous deployment of a covered stent in the left subclavian artery and concomitant surgical thrombectomy of the left brachial artery, resulting in excellent recovery and resolution of symptoms.
我们描述了一名74岁男性，在左侧锁骨骨折的钝性胸部创伤后出现急性左上肢缺血延迟发作，导致左锁骨下动脉损伤，包括假性动脉瘤形成、壁内血肿、血栓形成以及肱动脉远端栓塞。患者表现为左上肢疼痛、前臂和手部麻木以及手指发绀。该患者采用了一种联合治疗方法，包括经股动脉在左锁骨下动脉经皮植入覆膜支架，并同时对左肱动脉进行手术取栓，结果患者恢复良好，症状消失。
