| Title |
Poraktinės arterijos sužalojimai lūžus raktikauliui / |
| Translation of Title |
Subclavian artery lesions due to clavicular fracture. |
| Authors |
Pauliukas, Povilas |
| DOI |
10.15388/LietChirur.2005.1.2329 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2005, t. 3, Nr. 1, p. 27-30.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
subclavian artery lesions ; clavicular fracture ; thrombosis |
| Abstract [eng] |
Background/objective Subclavian artery lesions complicating a clavicular fracture are not frequent, that’s why even vascular surgeons make tactical mistakes while operating on them as described in the first clinical case. The author presents two different cases from his personal experience, analyzes their peculiarities and gives recommendations how to treat and operate on these lesions. First case A 33-year-old male was three times operated on at Vilnius City University Hospital Vascular Surgery Center for recurrent thrombosis of the left subclavian artery: two times thrombectomy with the Fogarty catheter was performed, and during the third procedure the intraarterial stent was introduced into the subclavian artery. Soon after the insertion of the stent, the subclavian artery thrombosed from the aorta up to the axillary fossa, occluding all the subclavian artery branches, including the vertebral artery, and eliminating collateral circulation to the hand. Critical ischemia of the hand developed and the patient was transferred to the Vilnius University Emergency Hospital Vascular Surgery Department. An emergency operation was performed: the left first rib was resected through the axilla using the Roos technique, the clavicle pseudoarthrosis was resected and osteosynthesis of the clavicle using a bone transplant and a metallic plate was performed and then an autologous vein shunt from the common left carotid artery to the brachial artery was created. The postoperative period was uneventful. After 4 years the patient is healthy with a good reunion of the clavicle and normal left hand circulation. Second case The subclavian artery mycotic pseudoaneurysm caused by the fractured left clavicle was surgically eliminated preserving the vertebral artery and restoring the blood flow to the hand by a carotico-axillary autovenous shunt... |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2005 |
| CC license |
|
