• J D Sciarretta, J A Asensio, T Vu, F N Mazzini, J Chandler, F Herrerias, J M Verde, P Menendez, J M Sanchez, P Petrone, K D Stahl, H Lieberman, and C Marini.
• Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
• Eur J Trauma Emerg S. 2011 Oct 1;37(5):439.

IntroductionThoracic and thoracic related vascular injuries represent complex challenges to the trauma surgeon. Subclavian vessel injuries, in particular, are uncommon and highly lethal. Regardless of the mechanism, such injuries can result in significant morbidity and mortality.Materials And MethodsSystematic review of the literature, with emphasis on the diagnosis, treatment and outcomes of these injuries, incorporating the authors' experience.ConclusionsThese injuries are associated with significant morbidity and mortality. Patients who survive transport are subject to potentially debilitating injury and possibly death. Management of these injuries varies, depending on hemodynamic stability, mechanism of injury, and associated injuries. Despite significant advancements, mortality due to subclavian vessel injury remains high.

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