[Injury to the subclavian and vertebral arteries in childhood following blunt force trauma].
Injuries of great vessels, such as the subclavian or vertebral arteries in childhood are rare. More frequent and therefore better described are dissections of the vertebral artery, which frequently occur following low energy trauma. The combination of dissection of the vertebral and subclavian arteries described in this case study led to sensory affections of the left arm. Therapeutic anticoagulation is the therapy of choice to avoid possible ischemic insults. The therapeutic approach of injuries to the subclavian artery remains unclear and is in the focus of discussions.
Zeckey
C
C
Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. zeckey.christian@mh-hannover.de
Frink
M
M
Wilhelmi
M
M
Mommsen
P
P
Brunnemer
U
U
Probst
C
C
Krettek
C
C
Hildebrand
F
F
D000293:Adolescent; D000792:Angiography; D000925:Anticoagulants / Q000008:administration & dosage; D001132:Arm / Q000098:blood supply / Q000294:innervation; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001642:Bicycling / Q000293:injuries*; D002648:Child; D003131:Combined Modality Therapy; D006491:Hemothorax / Q000601:surgery; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000601:surgery; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*
D000925:Anticoagulants; D006493:Heparin
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