Subclavian Artery Injury During Lung Tumor Resection
Yukio Umeda, Kiyohiko Hagiwara, Shinsuke Matsumoto
TL;DR
A rare case of subclavian artery injury during lung tumor surgery is reported, highlighting the challenges and successful repair of this life-threatening complication.
Contribution
The paper presents a novel clinical case of iatrogenic subclavian artery injury during thoracic surgery and its successful management.
Findings
Subclavian artery injury occurred during dissection of adhesions from a previous bullectomy.
Primary hemostasis was achieved with suture closure, followed by successful repair of the injury.
The case emphasizes the importance of careful dissection in thoracic surgeries involving prior surgical sites.
Abstract
An open penetrating injury of the subclavian artery is an extremely rare catastrophic situation in thoracic surgery. We experienced a 57-year-old case of iatrogenic subclavian artery injury during the resection of a lung tumor. The injury occurred during the dissection of the adhesion between the stapling site of the previous bullectomy and the chest wall. Systolic blood pressure dropped below 50 mmHg immediately after the injury. Following primary hemostasis achieved with suture closure, the site of injury was sufficiently exposed and successfully repaired.
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Taxonomy
TopicsTrauma Management and Diagnosis · Shoulder and Clavicle Injuries · Reconstructive Surgery and Microvascular Techniques