[Pseudoaneurysm in the subclavian artery as a long-term complication to clavicula fracture]

Ugeskr Laeger. 2014 Dec 1;176(49):V07140401.
[Article in Danish]

Abstract

Post-traumatic pseudoaneurysm in the subclavian artery is a rare complication to clavicula fracture, but it seldom requires intervention, and therefore screening for pseudoaneurysms is not recommended after a relevant trauma. This case report confirms that a pseudoaneurysm can develop slowly and can manifest even several years after the primary trauma. A 79-year-old patient presented herself with a 20 × 20 cm large pulsating tumour on the left side of her neck, and a pseudoaneurysm on the subclavian artery had been diagnosed as a late complication to a clavicula fracture nine years before. This case was rare because of the late-onset aneurysm, manifesting itself by the large size and neurological symptoms. The patient was treated with stent grafting without further surgical intervention, resulting in relief from neurological symptoms and a decreasing size of the pseudoaneurysm. Antithrombotic treatment after the endovascular procedure was not recommended.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery
  • Clavicle / injuries*
  • Computed Tomography Angiography
  • Female
  • Fractures, Bone / complications*
  • Humans
  • Stents
  • Subclavian Artery* / diagnostic imaging
  • Subclavian Artery* / surgery