case_images: PMC11761245_01
case_images: (A) Chest CT scan (axial plane): pseudoaneurysm misinterpreted as a massive hematoma of the supraclavicular region. (B) Patient's subclavian region and shoulder during admitting.
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case_images: However, a massive hematoma in the supraclavicular region was described, but not initially recognized as a pseudoaneurysm (Figure 1).
case_images: (A) Chest X-ray: oblique fracture of the clavicle shaft (black arrow). (B) Chest X-ray: flail chest with dual fractures of the second through seventh ribs on the left side.
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case_images: Swelling of the left supraclavicular region.
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case_images: Nevertheless, 10 days after admission, the swelling of the left supraclavicular region did not resolve (Figure 3).
case_images: Clavicle and shoulder region at 7-week follow-up.
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case_images: One month later, during another outpatient visit, the symptoms persisted while laboratory and imaging studies showed no abnormalities (Figure 4).
case_images: (A) Doppler ultrasonography indicated pseudoaneurysm. (B) Chest CT scan (axial plane) confirmed subclavian pseudoaneurysm. (C,D) 3-dimensional image showing the pseudoaneurysm (red arrows).
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case_images: Angio-CT confirmed a 40 x 24 mm pseudoaneurysm of the left SCA (Figure 5).
case_images: (A,B) Digital subtraction angiography before and after stent implantation. (C) Chest X-ray:showing implanted Viabahn stent. (black arrow).
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case_images: A Viabahn covered stent was successfully implanted to restore arterial continuity and exclude the pseudoaneurysm (Figure 6).