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

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

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Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Ghadeer AyashDepartments of Vascular Surgery, National University Hospital, University of Damascus, Damascus, Syria.

Anas AbdulrazzakThoracic Surgery, National University Hospital, University of Damascus, Damascus, Syria.

Lamis AroosAnesthesiology, National University Hospital, University of Damascus, Damascus, Syria.

Younes SouleimanUniversity of Damascus; and the Departments of Thoracic Surgery, National University Hospital, University of Damascus, Damascus, Syria.

Ammar MohammadVascular Surgery, National University Hospital, University of Damascus, Damascus, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

PseudoaneurysmSubclavian arterySurgical repairVascular traumaWar injuries

Identifiers

PMID42894794

DOI10.1016/j.jvscit.2026.102381

PMCPMC13677013

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