Combined Operative and Endovascular Treatment of a Post-Traumatic Embolizing Aneurysm of the Subclavian Artery

1998 ◽  
Vol 5 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Thomas Meyer ◽  
Susanne Merkel ◽  
Werner Lang
Keyword(s):  
Subclavian Artery ◽  
Brachial Artery ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Covered Stent ◽  
Operative Trauma ◽  
Simultaneous Reconstruction ◽  
Subclavian Artery Aneurysm ◽  
Post Traumatic ◽  
Covered Stent Graft

Purpose: To describe a combined endovascular and surgical approach for an embolizing subclavian artery aneurysm as an alternative to conventional reconstructive surgery. Methods and Results: A 39-year-old woman presented with a post-traumatic aneurysm of the left subclavian artery and occlusion of the brachial artery due to embolization. Exclusion of the aneurysm was achieved by intraoperative implantation of a covered stent during simultaneous reconstruction of the brachial artery by a venous bypass graft. The patient is well and free of symptoms 24 months after the operation. Conclusions: Repeat operative trauma to the supraclavicular region was avoided by transluminal implantation of a covered stent-graft in combination with an axilloulnar bypass procedure for chronic embolic occlusion of the brachial artery.

Hybrid Treatment of a True Right Subclavian Artery Aneurysm Involving the Vertebral Artery using a Covered Stent

2018 ◽  
Vol 53 ◽  
pp. 273.e7-273.e11 ◽  
Author(s):  
Mario D'Oria ◽  
Marco Pipitone ◽  
Stefano Chiarandini ◽  
Cristiano Calvagna ◽  
Francesco Riccitelli ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Subclavian Artery ◽  
Artery Aneurysm ◽  
Covered Stent ◽  
Hybrid Treatment ◽  
Subclavian Artery Aneurysm

scholarly journals Two-stage repair of the intrathoracic portion of a left subclavian artery aneurysm after previous coronary artery bypass surgery

2021 ◽  
Vol 2 (1) ◽  
pp. 33-38
Author(s):  
Petar Zlatanović ◽  
Marko Dragaš ◽  
Vladimir Cvetić ◽  
Oliver Radmili ◽  
Aleksandra Vujčić ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Arch ◽  
Coronary Artery Bypass ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Aneurysm ◽  
Two Stage ◽  
Subclavian Artery Aneurysm

Introduction: We present a case of a 70-year-old patient who underwent successful two-stage repair of an intrathoracic left subclavian artery aneurysm (SAA) and who had previously undergone CABG. Case presentation: The patient had previously undergone three-vessel coronary artery bypass graft (CABG) repair with the use of the left internal mammary artery (LIMA) to the left anterior descending artery (LAD). Percutaneous coronary intervention (PCI) was performed as a backup option in case of potential intra-operative LIMA-LAD bypass occlusion. Owing to the impossibility of hybrid repair due to a short proximal landing zone and aortic arch anomaly (bovine type), the vascular surgery review board decided to perform two-stage open surgery. Firstly, the patient underwent a left carotid-subclavian (C-S) bypass with the Dacron graft, with the application of the standard supraclavicular approach. After a few days, the second procedure, through the left posterolateral thoracotomy was performed. The left subclavian artery (SA) was ligated distally to the SAA but proximally to the origin of the LIMA. The distal aortic arch at the site of the left SAA was clamped partially and the aneurysm was excised. The defect of the aortic arch was sutured and reinforced with a felt patch. Postoperatively, the patient had a good recovery, without any signs of myocardial injury or any surgery-related issues. Conclusion: Careful planning and two-stage open surgical treatment of the left SAA, first with a left carotid-subclavian bypass, followed by aneurysm exclusion and suture of the outer aortic arch curvature may be a treatment option for patients not amenable to hybrid treatment.

scholarly journals Successful Treatment of a Ruptured Subclavian Artery Aneurysm Presenting as Hemoptysis with a Covered Stent

2014 ◽  
Vol 50 (2) ◽  
pp. 70 ◽  
Author(s):  
Sung Soo Kim ◽  
Myung Ho Jeong ◽  
Ji Eun Kim ◽  
Yi Rang Yim ◽  
Hyuk Jin Park ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Successful Treatment ◽  
Artery Aneurysm ◽  
Covered Stent ◽  
Subclavian Artery Aneurysm

Coarctation of the Aorta Associated with Left Subclavian Artery Aneurysm: A Case Report

2007 ◽  
Vol 10 (3) ◽  
pp. E175-E176 ◽  
Author(s):  
Kaan Inan ◽  
Onur Goksel ◽  
Ibrahim Alp ◽  
Tuncay Erden ◽  
Melih Us ◽  
...  
Keyword(s):  
Case Report ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Artery Aneurysm ◽  
Coarctation Of The Aorta ◽  
Subclavian Artery Aneurysm

scholarly journals Giant Subclavian Artery Aneurysm Associated with Airway Stenosis

2013 ◽  
Vol 42 (4) ◽  
pp. 289-292
Author(s):  
Shogo Nakayama ◽  
Kazuhisa Sakamoto ◽  
Megumi Ito
Keyword(s):  
Subclavian Artery ◽  
Artery Aneurysm ◽  
Airway Stenosis ◽  
Subclavian Artery Aneurysm

Undiagnosed bilateral complete cervical rib with subclavian artery aneurysm presenting as acute ischaemic limb following high-altitude expedition

2021 ◽  
Vol 14 (2) ◽  
pp. e241194
Author(s):  
Raja Lahiri ◽  
Udit Chauhan ◽  
Ajay Kumar ◽  
Nisanth Puliyath
Keyword(s):  
High Altitude ◽  
Subclavian Artery ◽  
Thoracic Outlet Syndrome ◽  
Artery Aneurysm ◽  
Limb Ischaemia ◽  
Cervical Rib ◽  
Subclavian Artery Aneurysm ◽  
Acute Limb Ischaemia ◽  
Arterial Thoracic Outlet Syndrome ◽  
Cervical Ribs

Arterial thoracic outlet syndrome is relatively rare and often exclusively seen in the presence of bony anomalies. High-altitude (HA) travel is commonly associated with thrombosis; however, arterial thromboembolism is less frequently described. We describe a case of a young man with undiagnosed bilateral cervical rib, who went for an HA trek, subsequent to which developed acute limb ischaemia of right arm. Diagnostic workup revealed a subclavian artery aneurysm as well along with complete bony bilateral cervical ribs. Thoracic outlet syndrome should be kept as a differential diagnosis in a case of acute limb ischaemia in a healthy adult.

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