Citation

Martínez-Quesada JI, Anaya-Ayala JE, Mier Y Terán-Ellis S, Miranda-Ramírez M, Arzola LH, Ruben-Castillo C, Aramburo JC, de Los Ríos JM, Hinojosa CA. Vasc. Specialist Int. 2022; 38: e14.

Copyright

(Copyright © 2022, Korean Society for Vascular Surgery)

DOI

10.5758/vsi.220012

PMID

35712875

Abstract

Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.

Language: en

Keywords

Fracture; Chronic limb-threatening ischemia; Subclavian artery; Vascular grafting; Vascular injuries