PMC9391998_01
temporary bleeding control by multiple bulldogs (vascular clamps)
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F1
The general surgeon extended the supraclavicular wound and applied multiple bulldogs (vascular clamps) to get temporary bleeding control (Figure 1).
A) plain chest X-ray, anteroposterior view in the supine position at presentation; B) computed tomography scan of the lower neck/upper chest showing subclavian vessel injury; C) computed tomography scan of the chest showing left sided hemothorax
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F2
Chest X-ray showed a left hemothorax (Figure 2 A), and the left ICT drained 700 ml of blood. There was also a hematoma surrounding the left axillary vein with a patent lumen (Figure 2 B). There was also a left moderate to a large amount of hemothorax (Figure 2 C).
plain chest X-ray, anteroposterior view in the supine position on the first postoperative day
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F3
Immediate median sternotomy was performed (Figure 3).
A) postoperative computed tomography angiogram of neck and upper limb; B) plain chest X-ray, posteroanterior view during the outpatient clinic visit
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F4
Refilling of the SCA s distal segment and its branches was noted down to the left upper limb (Figure 4 A). The chest radiograph was also unremarkable (Figure 4 B).