PMC4329670_01
(
A) Subclavian artery injury shown on contrast-enhanced computed tomography. (
B and
C) Clavicle fractures and subclavian artery injury shown on three-dimensional computed tomography angiography.
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He had a left pneumothorax, a left, open, mid-shaft clavicle fracture accompanied by a 10 mm-sized laceration with numerous subcutaneous air bubbles trapped in the soft tissue on the lateral end of the clavicle, and left subclavian arterial injury (Gustilo Grade I) ( Figure 1A-C).
(
A) Angiography showing segmental dissection of the distal subclavian artery with preserved blood flow to the left upper extremity. (
B) Angiography of the subclavian artery showing an adequate stent expansion and restoration of blood flow.
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Initial selective angiography of the left subclavian artery via the right common femoral artery revealed a segmental dissection of the distal subclavian artery with preserved blood flow to the left upper extremity ( Figure 2A). Adequate stent expansion and restoration of blood flow of the subclavian artery were confirmed ( Figure 2B).