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Jose I. Martínez-Quesada,Javier E. Anaya-Ayala,Santiago Mier y Terán-Ellis,Montserrat Miranda-Ramírez,Luis H. Arzola,Christopher Ruben-Castillo,Juan C. Aramburo,Jesus M. de los Ríos,Carlos A. Hinojosa 대한혈관외과학회 2022 Vascular Specialist International Vol.38 No.2
Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavianbrachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.