scholarly journals LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT

2017 ◽  
Vol 17 (2) ◽  
pp. 103-111
Author(s):  
Yopie Afriandi Habibie ◽  
Ign Wuryantoro
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Left Subclavian Artery ◽  
Primary Repair ◽  
Median Sternotomy ◽  
Traumatic Rupture ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Massive Hemothorax ◽  
Chest X Ray

Abstrak. Trauma tumpul toraks memiliki insiden yang sangat tinggi pada populasi dewasa, 20 – 50 % dari kasus dapat mengakibatkan kematian. Cedera pada struktur pembuluh darah dari bagian dada atas, terutama pembuluh darah arteri subklavia kiri, sangat jarang ditemukan dan biasanya disertai dengan “hematotoraks massif”. Observasi ketat dari tanda- tanda vital dan foto toraks serial sangatlah penting. Kami paparkan sebuah kasus jarang dari seorang pasien yang mengalami cedera traumatik arteri subklavia kiri. Tidak ditemukan gambaran klinis dari hematoma di supra klavikula, pulsasi arteri radialis kiri tidak teraba, dan tidak ditemukan pelebaran dari mediastinum pada foto toraks. Tetapi didapatkan hematotoraks massif kiri. Dilakukan posterolateral torakotomi kiri, dijumpai sumber perdarahan dari bagian apex paru kiri, dicurigai terdapatnya robekan dari pembuluh darah arteri subklavia kiri. Tindakan dilanjutkan dengan insisi median sternotomy yang diperluas ke arah supraklavikula kiri, ditemukan rupture total dari arteri subklavia kiri dengan jarak 1,5 cm proksimal dari arkus aorta. Tindakan repair (perbaikan) arteri secara primer (end to end anastomosis) dilakukan dengan hasil baik. (JKS 2017; 2: 105-114)Kata kunci : Trauma tumpul toraks, hematotoraks massif, cedera arteri subklavia kiriAbstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture of left subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. (JKS 2017; 2: 105-114)Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

scholarly journals LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT

2018 ◽  
Vol 18 (2) ◽  
pp. 93-100
Author(s):  
Yopie Afriandi Habibie ◽  
Ign Wuryantoro
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Left Subclavian Artery ◽  
Primary Repair ◽  
Median Sternotomy ◽  
Traumatic Rupture ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Massive Hemothorax ◽  
Chest X Ray

Abstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture ofleft subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

scholarly journals Chest X-ray as a screening tool for blunt thoracic trauma in children

2013 ◽  
Vol 21 (S1) ◽  
Author(s):  
NL Yanchar ◽  
K Woo ◽  
M Brennan ◽  
C Palmer ◽  
M Ee ◽  
...  
Keyword(s):  
Thoracic Trauma ◽  
Screening Tool ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Chest X Ray

The combined utility of extended focused assessment with sonography for trauma and chest x-ray in blunt thoracic trauma

2018 ◽  
Vol 85 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Morgan Schellenberg ◽  
Kenji Inaba ◽  
James M. Bardes ◽  
Nicholas Orozco ◽  
Jessica Chen ◽  
...  
Keyword(s):  
Thoracic Trauma ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Chest X Ray

scholarly journals Chest x-ray as a screening tool for blunt thoracic trauma in children

2013 ◽  
Vol 75 (4) ◽  
pp. 613-619 ◽  
Author(s):  
Natalie L. Yanchar ◽  
Kenneth Woo ◽  
Maureen Brennan ◽  
Cameron S. Palmer ◽  
Michael ZS Ee ◽  
...  
Keyword(s):  
Thoracic Trauma ◽  
Screening Tool ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Chest X Ray

scholarly journals Subclavian artery and jugular vein rupture after a blunt thoracic trauma due to a BMX handlebar

2010 ◽  
Vol 37 (1) ◽  
pp. 235-235 ◽  
Author(s):  
Ramin Ipaktchi ◽  
Sabine Dettmer ◽  
Peter M. Vogt ◽  
Karsten Knobloch
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Jugular Vein ◽  
Blunt Thoracic Trauma

Thoracic Trauma

2020 ◽  
Author(s):  
William E. Baker ◽  
Ron Medzon
Keyword(s):  
Blunt Trauma ◽  
Thoracic Trauma ◽  
Flail Chest ◽  
Penetrating Trauma ◽  
Pulmonary Contusion ◽  
X Ray ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
Chest X Ray ◽  
Lung Point

More than 85% of blunt and penetrating trauma to the thorax results in injury to the lungs or ribs. Among civilians, blunt trauma is the most common mechanism, while penetrating trauma is the most common among military sectors. This review describes the assessment and stabilization, diagnosis, treatment and disposition, and outcomes of thoracic trauma. Videos shows the “lung point” sign on M-mode and two-dimensional ultrasonography, and a transthoracic echocardiogram clip of pericardial clot and tamponade due to a gunshot wound. Figures show a sonogram showing the “lung point sign”, a chest x-ray and computed tomographic scan demonstrating right-sided hemothorax in a patient with a right chest stab wound, and a three-dimensional computed tomographic scan and chest x-ray of a blunt trauma patient with displaced fractures of the left lateral sixth to ninth ribs. Tables list types of injuries, NEXUS chest decision instrument imaging criteria, level 2 evidence-based recommendations for the management of pulmonary contusion and flail chest by the Eastern Association for the Surgery of Trauma, Eastern Association for the Surgery of Trauma practice guidelines for managing issues with pulmonary contusion and flail chest, and the Vancouver simplified and University of Washington grading systems for blunt aortic injury. This review contains 2 videos, 4 highly rendered figures, 10 tables, and 94 references.

Reinforcing the vascular disruption theory of the genesis of Poland’s syndrome: a rare association of diaphragmatic eventration in a preterm infant with severe musculoskeletal defects

2021 ◽  
Vol 14 (1) ◽  
pp. e238392
Author(s):  
Nadira Shahrul Baharin ◽  
Eman Awadh Hashim ◽  
Quek Bin Huey ◽  
Suresh Chandran
Keyword(s):  
Subclavian Artery ◽  
Surgical Team ◽  
Poland’S Syndrome ◽  
X Ray ◽  
Vascular Disruption ◽  
Poland's Syndrome ◽  
Chest Deformity ◽  
Small Hand ◽  
Chest X Ray ◽  
The Right

A preterm female infant was admitted at birth with respiratory distress. On examination, she had an asymmetric right chest wall and ipsilateral small hand. Air entry was reduced over the right chest. A clinical diagnosis of Poland’s syndrome was made based on the hypoplasia of the right pectoral muscles, absent nipple, deformed ribs and symbrachydactyly of the ipsilateral hand. Chest X-ray suggested and ultrasound confirmed eventration of the right hemidiaphragm. ‘Subclavian artery supply disruption sequence’ (SASDS) theory by Bavnick and Weaver remains the most accepted pathogenic mechanism in Poland’s syndrome. This case reinforces SASDS theory associated with the genesis of Poland’s syndrome that relates to the pathogenicity of vascular disruption of subclavian artery, characteristics of which are unilateral pectoral defects, symbrachydactyly and eventration of the diaphragm. At 2 months, she underwent diaphragm plication. She is under review by our multidisciplinary surgical team for reconstruction of the chest deformity.

The Management of Subclavian Artery Injuries Following Blunt Thoracic Trauma

1984 ◽  
Vol 38 (3) ◽  
pp. 188-191 ◽  
Author(s):  
James T. Sturm ◽  
James S. Dorsey ◽  
Frederick R. Olson ◽  
John F. Perry
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Blunt Thoracic Trauma
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