Subclavian artery aneurysm: a rare cause of massive haemoptysis

A 35-year-old man was admitted to the intensive care unit with massive haemoptysis. CT of the chest revealed a necrotic right upper lobe mass. Angiography of his thoracic vasculature revealed a pseudoaneurysm in the right subclavian artery with active contrast extravasation. This anatomic deformity was stented and coiled with the assistance of interventional radiology. Bronchoscopy with lavage and brushings of the right upper lobe mass revealed fungal hyphae and positive galactomannan, supporting that the patient developed invasive pulmonary aspergillosis leading to a mycotic pseudoaneurysm of the right subclavian artery followed by massive haemoptysis.

Download Full-text

An unusual case of the right subclavian artery aneurysm resulting from long-term repetitive blunt chest trauma

Journal of Vascular Surgery ◽

10.1016/j.jvs.2012.01.012 ◽

2012 ◽

Vol 56 (1) ◽

pp. 219-222 ◽

Cited By ~ 2

Author(s):

Yukihiro Matsuno ◽

Narihiro Ishida ◽

Katsuya Shimabukuro ◽

Hirofumi Takemura

Keyword(s):

Subclavian Artery ◽

Blunt Chest Trauma ◽

Unusual Case ◽

Chest Trauma ◽

Artery Aneurysm ◽

Subclavian Artery Aneurysm ◽

The Right

Download Full-text

Cerebral Embolic Stroke and Arm Ischemia in a Teenager With Arterial Thoracic Outlet Syndrome: A Case Report

Vascular and Endovascular Surgery ◽

10.1177/1538574407299780 ◽

2007 ◽

Vol 41 (3) ◽

pp. 254-257 ◽

Cited By ~ 25

Author(s):

Thomas S. Lee ◽

George L. Hines

Keyword(s):

Subclavian Artery ◽

Thoracic Outlet Syndrome ◽

Artery Aneurysm ◽

Rare Presentation ◽

Arterial Lesion ◽

Acute Thrombosis ◽

Cerebrovascular Complication ◽

Subclavian Artery Aneurysm ◽

The Right ◽

Arterial Thoracic Outlet Syndrome

A rare presentation of arterial thoracic outlet syndrome (TOS) is described in a young woman. Arterial TOS caused by a cervical rib produced acute upper extremity ischemia due to subclavian artery aneurysm formation. Clinical presentation also included left hemiparesis caused by right subclavian artery thrombosis and retrograde embolization of thrombus via the common carotid artery to the right middle cerebral artery distribution. Surgical repair of the subclavian artery was performed, but permanent neurologic deficit remained. Acute thrombosis of the right subclavian artery can produce cerebrovascular complication. The assessment of such risk in patients with arterial TOS is warranted and the arterial lesion corrected surgically.

Download Full-text

Critical Upper Limb Ischemia due to Subclavian Artery Compression Caused by Initially Undiagnosed Cervical Rib - A Case Report

University Heart Journal ◽

10.3329/uhj.v11i1.27601 ◽

2016 ◽

Vol 11 (1) ◽

pp. 48-51

Author(s):

Sultan Mahmud ◽

Omar Sadeque Khan ◽

Abdullah Al Mamun ◽

Fidah Hossain ◽

Md Aftabuddin ◽

...

Keyword(s):

Subclavian Artery ◽

Upper Limb ◽

Artery Aneurysm ◽

Limb Ischemia ◽

Arterial Tree ◽

Critical Ischemia ◽

Cervical Rib ◽

Subclavian Artery Aneurysm ◽

Rare Lesion ◽

The Right

True subclavian artery aneurysms are relatively rare events. Thoracic outlet compression is responsible for 75% of those aneurysms. They are formed as a result of compression of subclavian artery, for example a cervical rib. A case of subclavian artery aneurysm secondary to cervical rib in a 35 year old young adult, who presented with a critical ischemia in his dominant right upper limb. Plain x-ray of cervical spine revealed bilateral cervical ribs and duplex study of the both upper limb arteries concluded aneurysmal dilatation of mid-distal subclavian artery of both sides with mural thrombus on the right side, marked distal ischemia in the right upper limb due to occlusive thrombus in the distal arterial tree, normal distal arterial flow in the left upper limb. Although it is a rare lesion, cervical rib leading to thoracic outlet compression should always be included in the differential diagnosis of a critically ischemic limb in young age group. Surgical management should be considered in a patient with subclavian artery aneurysm due to cervical rib to prevent additional embolic events.University Heart Journal Vol. 11, No. 1, January 2015; 48-51

Download Full-text

Retrograde Approach Using the Right Axillary Artery for Complete Endovascular Treatment of a Symptomatic Aberrant Right Subclavian Artery Aneurysm

Journal of Endovascular Therapy ◽

10.1583/jevt-12-4031l.1 ◽

2012 ◽

Vol 19 (6) ◽

pp. 847-848 ◽

Cited By ~ 1

Author(s):

Valerio S. Tolva ◽

Santi Trimarchi ◽

Paolo G. Bianchi ◽

Lea Valeria Cireni ◽

Almarosa Lombardo ◽

...

Keyword(s):

Endovascular Treatment ◽

Subclavian Artery ◽

Axillary Artery ◽

Artery Aneurysm ◽

Aberrant Right Subclavian Artery ◽

Retrograde Approach ◽

Subclavian Artery Aneurysm ◽

The Right

Download Full-text

Endovascular repair of a ruptured subclavian artery aneurysm in a patient with Ehlers–Danlos syndrome using a sandwich technique

Vascular ◽

10.1177/1708538113516319 ◽

2014 ◽

Vol 22 (5) ◽

pp. 371-374 ◽

Cited By ~ 4

Author(s):

Sapan S Desai ◽

Maria Codreanu ◽

Kristofer M Charlton-Ouw ◽

Hazim Safi ◽

Ali Azizzadeh

Keyword(s):

Stent Graft ◽

Subclavian Artery ◽

Artery Aneurysm ◽

Innominate Artery ◽

Ehlers Danlos Syndrome ◽

Sandwich Technique ◽

Type Iv ◽

Subclavian Artery Aneurysm ◽

The Right ◽

Danlos Syndrome

We present the case of a type IV Ehlers–Danlos syndrome patient with a ruptured right subclavian artery aneurysm and associated arteriovenous fistula who underwent successful endovascular repair requiring simultaneous stent graft repair of the innominate artery using a sandwich technique. A 17-year-old man with known type IV Ehlers–Danlos syndrome developed right neck and shoulder swelling. CTA study demonstrated a 17 × 13-cm ruptured subclavian artery aneurysm with an associated internal jugular vein arteriovenous fistula. In the hybrid suite, a 7 mm × 15-cm stent graft (Viabahn, WL Gore & Associates, Flagstaff, AZ) was advanced from the right brachial approach into the innominate artery. A separate wire was placed into the right carotid artery via the right femoral approach (7 Fr), and a 7 mm × 10-cm stent graft (Viabahn) was advanced into the innominate artery. An additional 8 mm × 10-cm stent graft (Viabahn) was placed from the right brachial approach to obtain a distal-landing zone in the axillary artery. Complex vascular anatomy, in which graft seal creation may be challenging, does not exclude endovascular approaches as the sandwich technique can be utilized as a suitable alternative to open repair.

Download Full-text