http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2001/08/Cases/Posttraumatic-occlusion-of-the-left-subclavian-artery-and-partial-avulsion-of-the-left-vertebral-artery.aspx<p> <strong> <em>Prepared by Jay Radhakrishnan, MD and Jose Yrizarry, MD from the Department of Vascular/Interventional Radiology at the University of Miami/Jackson Memorial Hospital, Miami, FL.</em> </strong> </p> <p>A 33-year-old male pedestrian was struck by an automobile. The patient presented to the emergency department with complete loss of sensory and motor function of the left upper extremity, as well as absence of pulses in the left upper extremity from the shoulder to the hand. Computed tomography scan of the chest (not shown) showed a large mediastinal hematoma with injury to the left subclavian artery. The patient was taken to the operating room for exploration and was found to have a large hematoma around the left subclavian artery, which dissected along the left carotid sheath, as well as complete avulsion of the left brachial plexus from the cervical spine. Surgical exploration was terminated and the patient was brought to special procedures for embolization of the left subclavian artery for proximal hemostasis control prior to amputation of the left upper extremity.</p>Tuesday, 01 Feb 2005 13:47:46 GMT