Post-Traumatic Occlusion of the Proximal Subclavian Artery Without Clavicle and First Rib Fracture

Park,  Jung Soo; Kim,  Hoon; Lee,  Suk Woo; Kim,  Si Wook; Choi,  Woo Ik

J Korean Soc Emerg Med > Volume 20(3); 2009 > Article

Case Report

Journal of The Korean Society of Emergency Medicine 2009;20(3): 331-334.

Post-Traumatic Occlusion of the Proximal Subclavian Artery Without Clavicle and First Rib Fracture

Jung Soo Park, Hoon Kim, Suk Woo Lee, Si Wook Kim, Woo Ik Choi

¹Department of Emergency Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea. chopin-park@hanmail.net
²Department of Chest Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.
³Department of Emergency Medicine, School of Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.

ABSTRACT

Subclavian artery occlusion after blunt trauma is an extremely rare injury. This has been attributed to its wellprotected location deep in the scalene triangle, bounded by the first rib and clavicle. A case of post-traumatic occlusion of the subclavian artery with clavicle fracture was reported by Sodhi et al in 2006 and in Korea was reported by Han et al in 2001. We believe that is the first report of post-traumatic occlusion of the subclavian artery without clavicle and first rib fracture in Korea.

Key words: Subclavian Artery, Blunt Injuries, Wounds, Nonpenetrating