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Case Reports
. 2017 Mar;9(3):E245-E248.
doi: 10.21037/jtd.2017.02.87.

Delayed-onset tension hemothorax following blunt trauma and the rupture of a previously undiagnosed aberrant right subclavian artery

Alex Fourdrain  1 , Sophie Lafitte  1 , Jules Iquille  1 , Florence De Dominicis  1 , Pascal Berna  1
Affiliations
Case Reports

Delayed-onset tension hemothorax following blunt trauma and the rupture of a previously undiagnosed aberrant right subclavian artery

Alex Fourdrain et al. J Thorac Dis. 2017 Mar.

Abstract

An arteria lusoria is a well-known anatomic variant of the right subclavian artery. We describe a patient in whom an arteria lusoria injury was revealed by delayed-onset tension hemothorax following blunt trauma to the thorax.

Keywords: Subclavian artery; blunt injuries; hemothorax.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Chest X-ray showing right tension hemothorax, with ineffective drainage.
Figure 2
Figure 2
Intraoperative view of the lesioned aberrant right subclavian artery (anterior approach through sternotomy). The star stands for the location of the lesion on the aberrant subclavian artery.
Figure 3
Figure 3
CT angiogram with 3D reconstruction acquired 2 months after surgery. The angiogram shows the aberrant right subclavian artery with a small anterior aneurysm (white arrow). CT, computed tomography.
Figure 4
Figure 4
Initial CT angiogram coronal view showing the upper mediastinal hematoma, the absence of active extravasation of contrast medium, and the aberrant right subclavian artery (white arrow). CT, computed tomography.
See this image and copyright information in PMC

References

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