Traumatismo penetrante dos vasos subclávios: revisão da literatura a propósito de um caso clínico
Abstract
O traumatismo penetrante dos vasos subclávios é pouco frequente, mas está associado a uma elevada taxa de morbi/mortalidade. O seu diagnóstico e abordagem constituem um desafio para o cirurgião. São factores que influenciam a sobrevida destes doentes a estabilidade hemodinâmica aquando da admissão, o mecanismo de lesão, o tipo de estruturas lesadas (artéria, veia, nervo ou outros órgãos) e o tempo despendido entre a lesão e a sua reparação. Nesse sentido, a propósito de um caso clínico de traumatismo penetrante da região supra-clavicular direita, os autores fazem uma revisão bibliográfica sobre a abordagem cirúrgica das lesões penetrantes dos vasos subclávios, salientando as indicações e vantagens inerentes à abordagem transclavicular.
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References
1. Demetriades D, Chahwan S et al. Penetrating injuries to the subclavian and axillary vessels. J Am Coll Surg. 1999. 188(3): 290-295
2. Aksoy M, Tunca F et al. Traumatic injuries to the subclavian and axillary arteries: a 13-year review. Surg Today. 2005. 35: 561-565
3. Williams EW, Cawich SO et al. Penetrating neck trauma and the aberrant subclavian artery. West Indian Med J. 2007. 56: 289-293
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8. Franz WR, Goodwin RB et al. Management of Upper Extremity Arterial Injuries at an Urban Level I Trauma Center. Annals of Vascular Surgery. 2009. 23(1): 8-16
9. Moeng S, Boffard K. Penetrating Neck injuries. Scandinavian Journal of Surgery. 2002. 91: 34–40
10. Du Toit DF, Strauss DC et al. Endovascular Treatment of Penetrating Thoracic Outlet Arterial Injuries. European Journal of Vascular and Endovascular Surgery. 2000.19: 489–495
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2. Aksoy M, Tunca F et al. Traumatic injuries to the subclavian and axillary arteries: a 13-year review. Surg Today. 2005. 35: 561-565
3. Williams EW, Cawich SO et al. Penetrating neck trauma and the aberrant subclavian artery. West Indian Med J. 2007. 56: 289-293
4. Amato JJ, Vanecko RM et al. Emergency approach to the subclavian and innominate vessels. The Annals of Thoracic Surgery. 1969. 8(6):537-541
5. Schaff HV, Brawley RK. Operative management of penetrating vascular injuries of the thoracic outlet. Surgery. 1977. 82(2):182-191
6. Greenough J. Operations on the innominate artery – Report of a successful ligation. Arch Surg. 1929. 19(6): 1484-1544
7. Cook FW, Haller JA. Penetrating Injuries of the Subclavian Vessels with Associated Venous Complications. Annals of Surgery. 1962. 155(3):370-372
8. Franz WR, Goodwin RB et al. Management of Upper Extremity Arterial Injuries at an Urban Level I Trauma Center. Annals of Vascular Surgery. 2009. 23(1): 8-16
9. Moeng S, Boffard K. Penetrating Neck injuries. Scandinavian Journal of Surgery. 2002. 91: 34–40
10. Du Toit DF, Strauss DC et al. Endovascular Treatment of Penetrating Thoracic Outlet Arterial Injuries. European Journal of Vascular and Endovascular Surgery. 2000.19: 489–495
11. Boffard KD. Manual de cuidados cirúrgicos definitivos em trauma. Edições Almedina,SA. 2010. 129-139.
Published
2015-03-31
How to Cite
CARLOS, Sandra F. et al.
Traumatismo penetrante dos vasos subclávios: revisão da literatura a propósito de um caso clínico.
Revista Portuguesa de Cirurgia, [S.l.], n. 32, p. 35-41, mar. 2015.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/463>. Date accessed: 03 july 2024.
Section
Clinical Case
