Subclavian artery injury caused by a screw in a clavicular compression plate.
A 22-year-old man presented with left-arm ischaemia, 22 months after placement of a clavicular compression plate for a fractured left clavicle. Digital subtraction angiography revealed a distal subclavian artery injury which, during surgery, was found to be caused by a screw in the compression plate. Ligation of the subclavian artery followed by carotid-axillary bypass resulted in a symptom-free left arm.
Johnson
B
B
University of South Florida, Division of Vascular Surgery, Tampa 33606, USA.
Thursby
P
P
D000328:Adult; D017541:Aneurysm, False / Q000601:surgery; D001132:Arm / Q000098:blood supply; D001860:Bone Plates; D001863:Bone Screws; D002968:Clavicle / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D007511:Ischemia / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D013348:Subclavian Artery / Q000293:injuries*; D013927:Thrombosis / Q000601:surgery