TY - JOUR ID - 10822 TI - Traumatic Left Subclavian Arterial Thrombosis : A Case Report JO - Journal of Cardio-Thoracic Medicine JA - JCTM LA - en SN - 2345-2447 AU - Mottahedi, Behrouz AU - Ghodsi, Majid AU - Nazari Shahiki, Alireza AU - Kahrom, Mahdi AD - Cardio surgeon, Department Of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Cardiologist follow up, Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - MS in Medical Surgical Nursing Education, Research Assistant of Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - Cardio Surgeon, Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Y1 - 2018 PY - 2018 VL - 6 IS - 2 SP - 309 EP - 312 KW - Subclavian Artery KW - Thrombosis KW - Trauma DO - 10.22038/jctm.2018.30090.1156 N2 - Subclavian Artery Thrombosis (SAT) typically arises secondary to some form of injuries and arthrosclerosis. The contributing factors are coagulopathies and emboli. And, the conserving blood is naturally reflowed from circle of Willis. A cold, painful, cyanosis, and pulseless upper extremity are proved as the symptoms. Recently, a 42-years-old smoker, diabetic, and hyperlipidemic woman was admitted with severe headache, vomiting, feeling weak, vertigo, decreasing of LOC and traumatic. Her left hand was pulseless, cold and painful and her blood pressure and force were significantly decreased. CT Angiography showed a large free gelatinous floating mass. The clot was completely removed by surgery and after that, left hand pulses and consciousness returned gradually. An unusual reason of acute upper extremity ischemia is thrombosis of subclavian artery. The percentage of symptomatic lesions is less than 1, but the same percentage in autopsy cases embraces 9% of the patient who have substantiate stenosis or obstruction of subclavian artery. All symptomatic patients should be treated emergently. UR - https://jctm.mums.ac.ir/article_10822.html L1 - https://jctm.mums.ac.ir/article_10822_c1e7933e3e2ee24b70d21c39721d27f2.pdf ER -