Abstract
Traumatic injury to major vessels is rare, but results in critical conditions. Here, we report a case of successful surgical treatment of the transected right subclavian artery caused by accidental blunt trauma. An 80-year-old man met with a traffic accident. Three-dimensional computed tomography showed complete transection of the right subclavian artery. During surgery, we first conducted a full sternotomy to encircle and clamp the brachiocephalic artery and proximal right subclavian artery to control bleeding. We then exposed the right subclavian artery and axillary artery to apply clamp through a subclavian skin incision and repaired the transection by direct suture. This patient was discharged 13 days after the operation. Patency of the right subclavian artery was confirmed by enhanced computed tomography.
