A 25-year-old man with upper extremity claudication

 

Doctor's Information

Name :  Maryam
Family :Noori
Email :   This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident :  ----------------

 

Patient's Information

Gender :  Male
Age :  25

 

Case Section

Cardiovascular

 

Clinical Summary

A 25-year-old man with upper extremity claudication & diminished pulses months after car accident.

 

Images

 

Imaging Procedures and Findings

A 25-year-old man complained about upper extremity claudication & diminished pulses months after car accident, evaluated about TOS using angiograghy (DSA). Performed DSA showed right subclavian artery cut off at about clavicule (fractured at previous trauma), collaterals & also run off.

 

Discussion

The most common causes of subclavian artery occlusion are atherosclerosis (30%) & emboli (most common from cardiac origin). Other causes are: arterial dissection, neoplasm (e.g., Pancoast tumor), trauma (blunt or penetrating, iatrogenic), scar (e.g., post radiation, fibrosing mediastinitis), thoracic outlet syndrome, fibromuscular dysplasia, vasculitis , congenital absence of subclavian artery (rare).

 

Final Diagnosis

TOS (fractured clavicule)

 

References

Diagnostic Imaging Cardiovascular, Abbara, Walker et al. Fundamental of diagnostic radiology, William E. Brant, Clyde A. Helms.

 

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