Surgical repair of traumatic right subclavian artery pseudoaneurysm after war shrapnel injury: A case report.

Authors

Ghadeer Ayash, Anas Abdulrazzak, Lamis Aroos, Younes Souleiman, Ammar Mohammad

Published in

Journal of vascular surgery cases and innovative techniques. Volume 12. Issue 6. Pages 102381. Epub Jun 29, 2026.

Abstract

A rare right subclavian artery pseudoaneurysm developed after a war-related shrapnel injury in a 46-year-old female with a prior thyroidectomy. There was no initial bleeding or neurologic deficit, and initial noncontrast computed tomography findings were negative. One month later, the patient presented with chest pain, hoarseness, and dysphagia. A chest X-ray showed tracheal compression, Doppler ultrasound revealed leakage from the posterior wall of the right subclavian artery, and computed tomography angiography confirmed a 6 × 7 cm pseudoaneurysm causing 70% tracheal narrowing. Open repair was performed via partial sternotomy and a subclavicular incision using a 7-mm Dacron graft. The hospital stay was 3 days (1 day in the intensive care unit), without complications. Follow-up Doppler at 1 and 3 months showed graft patency, normal palmar arch waveforms, and symptom resolution.

PMID:
42894794
Bibliographic data and abstract were imported from PubMed on 19 Oct 2026.

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