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둔기손상에 대한 쇄골골절에 생긴 외상성 쇄골하동맥 박리: 폐쇄가 길면 수술하느냐 또는 스텐트를 삽입하느냐?
전순호 ( Soon Ho Chon ),이길수 ( Kil Soo Yie ),강재걸 ( Jae Gul Kang ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Subclavian injuries in blunt trauma are reported in less than 1% of all arterial injuries or chest related injuries. We report a female 68 yr-old patient whom has visited our emergency center due to a motorcycle traffic accident with complaints of right chest wall and shoulder pain. Her injury severity score was 22 and she was found with a comminuted clavicle fracture and subclavian artery injury. She developed delayed symptoms of pallor, pain and motor weakness with loss of pulse in her right arm. Attempts at intervention failed and thus, she underwent emergency artificial graft bypass from her subclavian artery to her brachial artery. Her postoperative course was uneventful and she is happy with the results. Although rare, a high index of suspicion for the injury must be noted and the inevitable surgical option must always be considered. [ J Trauma Inj 2015; 28: 219-221 ]