Persistent subclavian artery stenosis following surgical repair of non-union of a fractured clavicle

Vascular Surgery
Case Report
10.1102/1470-5206.2010.0012
10
55-58
Persistent subclavian artery stenosis following surgical repair of non-union of a fractured clavicle

Arterial thoracic outlet syndrome (TOS) is a rare vascular abnormality. Its common cause is a cervical rib but it is seldom detected secondary to trauma of the clavicle, particularly in association with surgical repair of a fractured clavicle. An athletic 45-year-old man developed a recurrent ischaemic upper limb after repair to a non-union fractured clavicle. He underwent multiple separate procedures including embolectomy, angioplasty, thrombolysis and subclavian stent insertion. Definitive diagnosis was made using 3D reconstructed computer tomography. He had a subclavian artery stenosis with arm abduction as a result of loss of curvature of the clavicle after orthopaedic reconstructive surgery. The best surgical approach for this problem remains controversial.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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