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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 66
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
S
ubclavian artery injury is a rare consequence of clavicle
fracture. It most often results frompenetrating trauma but can
result from blunt trauma with adjacent bone fragments causing
rupture, pseudoaneurysm, dissection or thrombosis of the artery.
If flow through the subclavian artery is compromised there is a risk
of ipsilateral upper limb ischaemia. Life threatening haemorrhage
may result in cases of laceration, and cerebral haemorrhage
may be caused by dissection. Vascular injury in association
with clavicle fracture is typically regarded as an indication for
internal fixation of the fracture. We present a case of subclavian
artery thrombosis in associated with a comminuted mid-shaft
clavicle fracture causing limb ischemia managed by carotid to
brachial artery bypass without internal fracture fixation. The
fracture united at six weeks and there was no sustained vascular
or neurological impairment at follow-up. We advocate urgent
vascular intervention in subclavian artery injury. There is little
discussion in the literature regarding non-operative management
of clavicle fractures with subclavian artery injury. We suggest that
select clavicle fractures with subclavian artery injury can be safely
managed non-operatively.
doogsb@hotmail.comAcute subclavian artery occlusion with associated clavicle
fracture managed with bypass graft alone
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003
Dougal Buchanan
University Hospital Geelong, Australia