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Perera KG, Clifford C, Maddock L. Subclavian artery injury secondary to clavicular plate fixation: a novel operative approach. J Surg Case Rep. 2015;2015(4)doi: 10.1093/jscr/rjv044.
Perera, K. G., Clifford, C., & Maddock, L. (2015). Subclavian artery injury secondary to clavicular plate fixation: a novel operative approach. Journal of surgical case reports, 2015(4), . https://doi.org/10.1093/jscr/rjv044
Perera, Kalpa G, et al. "Subclavian artery injury secondary to clavicular plate fixation: a novel operative approach." Journal of surgical case reports vol. 2015,4 (2015). doi: https://doi.org/10.1093/jscr/rjv044
Perera KG, Clifford C, Maddock L. Subclavian artery injury secondary to clavicular plate fixation: a novel operative approach. J Surg Case Rep. 2015 Apr 15;2015(4). doi: 10.1093/jscr/rjv044. PMID: 25877827; PMCID: PMC4397720.
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J Surg Case Rep. 2015 Apr 15;2015(4). doi: 10.1093/jscr/rjv044.

Subclavian artery injury secondary to clavicular plate fixation: a novel operative approach.

Journal of surgical case reports

Kalpa G Perera, Celia Clifford, Lachlan Maddock

Affiliations

  1. Department of Vascular Surgery, Eastern Health, Box Hill, VIC 3128, Australia [email protected].
  2. Department of Vascular Surgery, Eastern Health, Box Hill, VIC 3128, Australia.

PMID: 25877827 PMCID: PMC4397720 DOI: 10.1093/jscr/rjv044

Abstract

We present the case of a 32-year-old male with a delayed symptomatic left subclavian artery pseudoaneurysm secondary to protruding screws from prior perpendicular clavicular plate fixations. The pseudoaneurysm development and our operative approach are unique to the few similar cases available in the literature. The patient presented with a progressive pulsatile mass behind his left clavicle associated with paraesthesia. Angiography demonstrated a subclavian pseudoaneurysm adjacent to a prominent fixation screw. Offending screws were removed and the pseudoaneurysm was repaired using a reversed greater saphenous vein graft. This case illustrates an unusual aetiology for pseudoaneurysm development and highlights a successful operative intervention.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.

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