POST TRAUMATIC PSEUDOANEURYSM OF RIGHT SUBCLAVIAN ARTERY ABOUT ONE CASE: REPORT

Background: Pseudoaneurysms of the subclavian artery are uncommon and typically result from penetrating or blunt trauma. Early diagnosis and prompt management are essential to prevent life-threatening complications.

Case Presentation: We present the case of a 30- year- old male involved in a motor vehicle accident, resulting in multiple severe injuries, including a rare traumatic pseudoaneurysm of the proximal right subclavian artery. Initial computed tomography angiography (CTA) revealed a 12 12 mm pseudoaneurysm which increased to 17 12 mm within 48 hours despite supportive care. Due to rapid deterioration and progression of intracranial hemorrhage, surgical repair could not be performed, and the patient succumbed on the fourth day of admission

Conclusion: Subclavian artery pseudoaneurysms should be suspected in high energy chest trauma, especially when cervical vertebral injuries coexist. CTA remains the diagnostic modality of choice. Endovascular management is increasingly favored for its minimally invasive nature and favorable outcomes.