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Biomedicines
Volume 13
Issue 1
10.3390/biomedicines13010187
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Case Report

Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review

by
Małgorzata Edyta Wojtyś
1,*,
Patryk Skórka
1,
Dawid Kordykiewicz
1,
Aleksander Falkowski
2,
Joanna Jakubowska-Grzeszyk
3,
Janusz Wójcik
1 and
Edward Michael Wojtys
4
1
Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Sokołowskiego 11, 70-891 Szczecin, Poland
2
Department of General, Dental and Interventional Radiology, Pomeranian Medical University in Szczecin, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland
3
Department of Radiology, SPWSZ in Szczecin, Sokołowskiego 11, 70-891 Szczecin, Poland
4
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USA
*
Author to whom correspondence should be addressed.
Biomedicines 2025, 13(1), 187; https://doi.org/10.3390/biomedicines13010187
Submission received: 31 December 2024 / Revised: 9 January 2025 / Accepted: 11 January 2025 / Published: 14 January 2025
(This article belongs to the Special Issue Musculoskeletal Injuries: Clinical, Radiological, and Biochemical Evaluation in Orthopedics)
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Abstract

Subclavian artery pseudoaneurysms are rare but potentially life-threatening vascular injuries frequently associated with trauma such as clavicle fractures. In this paper we describe the case of a 49-year-old male who developed a post-traumatic pseudoaneurysm of the subclavian artery after a bicycle accident. The diagnosis was delayed due to non-specific symptoms and an initially missed aneurysm on computed tomography imaging. Persistent pain, swelling, and erythema in the subclavian region prompted further detailed diagnostics, which ultimately revealed the pseudoaneurysm. The patient was successfully treated with endovascular stent–graft implantation. We screened the PubMed database to identify similar cases managed exclusively through endovascular intervention. Reports of iatrogenic pseudoaneurysms and those treated with open surgery were excluded. Variables such as time to diagnosis, clinical presentation, features of pseudoaneurysms, and complications were analyzed to highlight the role of endovascular techniques as a minimally invasive and effective treatment option. These cases pose both a diagnostic and a therapeutic challenge, as early recognition of symptoms is crucial to prevent serious complications including thrombosis, neurological deficits, and even limb loss.
Keywords: pseudoaneurysm; subclavian artery; endovascular treatment; clavicular fracture pseudoaneurysm; subclavian artery; endovascular treatment; clavicular fracture

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MDPI and ACS Style

Wojtyś, M.E.; Skórka, P.; Kordykiewicz, D.; Falkowski, A.; Jakubowska-Grzeszyk, J.; Wójcik, J.; Wojtys, E.M. Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review. Biomedicines 2025, 13, 187. https://doi.org/10.3390/biomedicines13010187

AMA Style

Wojtyś ME, Skórka P, Kordykiewicz D, Falkowski A, Jakubowska-Grzeszyk J, Wójcik J, Wojtys EM. Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review. Biomedicines. 2025; 13(1):187. https://doi.org/10.3390/biomedicines13010187

Chicago/Turabian Style

Wojtyś, Małgorzata Edyta, Patryk Skórka, Dawid Kordykiewicz, Aleksander Falkowski, Joanna Jakubowska-Grzeszyk, Janusz Wójcik, and Edward Michael Wojtys. 2025. "Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review" Biomedicines 13, no. 1: 187. https://doi.org/10.3390/biomedicines13010187

APA Style

Wojtyś, M. E., Skórka, P., Kordykiewicz, D., Falkowski, A., Jakubowska-Grzeszyk, J., Wójcik, J., & Wojtys, E. M. (2025). Post-Traumatic Left Subclavian Artery Pseudoaneurysm Secondary to Clavicular Fracture: A Case Report and Literature Review. Biomedicines, 13(1), 187. https://doi.org/10.3390/biomedicines13010187

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