title: Recurrent peripheral embolism following nonunion of the clavicle.
abstract: Vascular complications in closed clavicular fractures are uncommon, with an incidence of only 0.4%. Subclavian artery injury can present acutely or can have a delayed presentation with arm ischemia. We report the case of an undetected subclavian pseudoaneurysm in a patient with a nonunion fracture clavicle who was referred with persistent ischemia following attempted brachial embolectomy at another center, along with a review of literature to support the hypothesis that in addition to repair of the aneurysm, treatment of the psuedarthrosis by fixation of the clavicle is essential.
authors.affiliation: Department of Vascular Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
authors.forename: Indrani
authors.initials: I
authors.lastname: Sen
authors.affiliation: Department of Orthopaedic Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
authors.forename: Viju Daniel
authors.initials: VD
authors.lastname: Varghese
authors.affiliation: Department of Vascular Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
authors.forename: Edwin
authors.initials: E
authors.lastname: Stephen
authors.affiliation: Department of Orthopaedic Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Poonnoose
keywords: Clavicle nonunion; subclavian pseudoaneurysm; thoracic outlet syndrome; thromboembolism