Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.200007
Jornal Vascular Brasileiro
Therapeutic Challenge

Controle de danos para lesão de artéria subclávia

Damage control for subclavian artery injury

Adenauer Marinho de Oliveira Góes Junior; Mariana Pereira Maurity; Carlos Alberto Costa do Amaral

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Resumo

Resumo: Os traumas penetrantes de vasos subclávios atingem mortalidade de até 60% em um cenário pré-hospitalar. A mortalidade no intraoperatório varia de 5-30%. Apresenta-se um caso de estratégia de controle de danos para um paciente com lesão na origem da artéria subclávia esquerda, através de ligadura, sem necessidade de outra intervenção, mantendo a viabilidade do membro superior esquerdo por meio de circulação colateral. Os autores fazem uma revisão sobre vias de acesso e estratégias de tratamento com ênfase em controle de danos para lesões de vasos subclávios.

Palavras-chave

traumatismos torácicos, artéria subclávia, síndrome do roubo subclávio, lesão do sistema vascular

Abstract

Mortality from penetrating traumas involving the subclavian vessels can be as high as 60% in pre-hospital settings. Operating room mortality is in the range of 5-30%. This paper presents a case in which a strategy for damage control was employed for a patient with an injury to the origin of the left subclavian artery, using subclavian ligation, with no need for any other intervention, and maintaining viability of the left upper limb via collateral circulation. The authors also review surgical approaches and treatment strategies with a focus on damage control in subclavian vessel injuries.

Keywords

chest traumas; subclavian artery; subclavian steal syndrome; vascular system injuries.

References

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Submitted date:
01/20/2020

Accepted date:
05/18/2020

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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