Combined Azygous Vein and Subclavian Artery Injury in Blunt Chest Trauma

Abstract
Blunt chest trauma resulting in azygous vein injury with associated mediastinal widening is described. Emergency operative intervention was required, and subsequent arteriography revealed initial transection of the subclavian artery requiring repair. The potential significance of mediastinal venous bleeding and the importance of arteriography in diagnosing occult arterial injury in this setting are emphasized.

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