An unusual cause of hemoptysis due to leaking subclavian artery pseudoaneurysm secondary to trauma

Authors

  • Yugandhar Bhatt Department of Pulmonary Medicine, Yashoda Hospitals, Hyderabad, Telangana, India
  • Waseem Md Abdul Department of Pulmonary Medicine, Osmania Medical College, Hyderabad, Telangana, India
  • Misba Zahera Civil Assistant Surgeon, Government of Telangana, Karimnagar, Telangana, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20175750

Keywords:

Hemoptysis, Pseudo aneurysm, Subclavian artery, Thoracic trauma

Abstract

Pseudoneurysms of the subclavian artery after blunting thoracic trauma presenting with a complication of hemoptysis are rare, most of which occur early, within days of trauma and represent a challenging surgical problem. Only a few scattered case reports are found in the literature. Here, we present the case of a 36-year-old male, with a history of blunt injury to the chest with right clavicular fracture, a few years back, who presented with cough, hemoptysis and shortness of breath of five days duration. On complete evaluation it was found that these complaints were due to a sub clavian artery pseudo aneurysm in the proximal part, which is compressing on the right upper lobe bronchus and blood leaking into the parenchyma and airways producing the symptoms. He was managed conservatively and stabilized. Later aneurysm resection and anastomosis was done electively. The patient is now asymptomatic and healthy.

References

Mattox KL, Feliciano DV, Burch J, Beall Jr AC, Jordan Jr GL, De Bakey ME. Five thousand seven hundred sixty cardiovascular injuries in 4459 patients. Epidemiologic evolution 1958 to 1987. Annals Surg. 1989;209(6):698.

Hoffer EK. Endovascular intervention in thoracic arterial trauma. Injury. 2008;39(11):1257-74.

Richardson, JD and Flint, LM. Cervicomediastinal injuries following blunt trauma. Am Surg. 1982;48:141-144.

Zelenock GB, Kazmers A, Graham LM, Erlandson EE, Cronenwett JL, Whitehouse WM Jr et al. Nonpenetrating subclavian artery injuries. Arch Surg. 1985;120:685-692.

Hirose H, Moore E. Delayed presentation and rupture of a posttraumatic innominate artery aneurysm: case report and review of the literature. J Trauma. 1997;42:1187-1195.

García Arnedo M, Rodríguez Lucero J, Vaselli I, Bacci I, Sessarego C. Pseudoaneurismas arteriales de localización no habitual: diagnóstico por ecografía, dúplex y doppler color en tres casos. Rev. argent. Radiol. 1999;63(4):289-92.

Weiman DS, McCoy DW, Haan CK, Pate JW, Fabian TC. Blunt injuries of the brachiocephalic artery. Am Surg. 1998;64:383-387.

Coselli JS, Crawford ES. Surgical treatment of aneurysms of the intrathoracic segment of the suhclavian artery. Chest. 1987;91:704-08.

Solheim K. Closed subclavian artery injuries. Scandinavian J Thoracic Cardiovas Surg. 1981;15(3):283-7.

Sturm JT, Dorsey JS, Olson FR, Perry JF Jr. The management of subclavian artery injuries following blunt thoracic trauma. Ann Thorac Surg. 1984;38:188-191.

Katras T, Baltazar U, Rush DS, Davis D, Bell TD, Browder IW, et al. Subclavian arterial injury associated with blunt trauma. Vasc Surg. 2001;35:43-50.

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Published

2017-12-23

How to Cite

Bhatt, Y., Md Abdul, W., & Zahera, M. (2017). An unusual cause of hemoptysis due to leaking subclavian artery pseudoaneurysm secondary to trauma. International Journal of Research in Medical Sciences, 6(1), 359–361. https://doi.org/10.18203/2320-6012.ijrms20175750

Issue

Section

Case Reports