Acta Univ. Palacki. Olomuc., Fac. Med. Volume 142, 1999
ANEURYSM OF THE SUBCLAVIAN ARTERY
- a 1st Department of Surgery, University Hospital, Olomouc
- b Department of Radiology, University Hospital, Olomouc
- c Department of Radiology, Military Hospital, Olomouc
- d Department of Traumatology, University Hospital, 775 20 Olomouc, Czech Republic
In this case report about a female patient with a true aneurysm of the left subclavian artery (SAA), the authorswould like to present the symptoms, possibilities of diagnostics and management of this rarely appearing pathology.The diagnosis of a randomly found aneurysm in a symptomfree patient was confirmed by spiral AGCT. Classicalsurgical procedure was indicated for the patient. With a combined supra- infraclavicular approach the partialresection of the aneurysm and its revascularization by a ePTFE prosthetic interposition were performed. Ahistological investigation showed nonspecific changes in the aneurysm wall. Two years after the operation thepatient is without any complications and with complete functional vascular reconstruction and optimal limbfunction.
Keywords: Subclavian artery, True aneurysm, ePTFE Prosthesis
Published: July 1, 1999 Show citation
References
- Dougherty, M. J., Calligaro, K. D., Savarese, R. P., DeLaurentis, D. A. (1995) Atherosclerotic aneurysm of the intrathoracic subclavian artery: A case report and review of the literature. J. Vasc. Surg. 21, 521-529.
Go to original source...
Go to PubMed...
- Elefteriades, J. A., Kay, H. A., Stansel, H. C. Jr., Geha, A. S. (1981) Extraanatomical reconstruction for bilateral intrathoracic subclavian artery aneurysms. Ann. Thorac. Surg. 35, 188-191.
Go to original source...
Go to PubMed...
- Firt, P., Hejnal, J., Vank, I. (1991) Cévní chirurgie. (1. vyd.), Avicenum, Praha.
- Gruss, J. D., Geissler, C. (1997) Aneurysmen der Arteria subclavia bei Thoracic outlet syndrom. Zbl. Chir. 122, 730-734.
- Krasna, M. J., Demmy, T. L., McKenna, R. J., Macj, M. J. (1988) Thoracocsopic sympathectomy: The U. S. experience. Eur. J. Surg. 580, 19-20.
- Köcher, M., Utíkal, P., Novotný, J., Bachleda, P., Sekanina, Z. (1998) Léba AAA bifurkaním stentgraftem fy ELLA - první zku/\xB9/enosti. Rozhl. Chir. 6, 260-266.
- May, J., White, G., Waugh, R., Yu, W., Harris, J. (1993) Transluminal placement of prosthetic graft - stent device for treatment of subclavian artery aneurysm. J. Vasc. Surg. 18, 1056-1059.
Go to original source...
Go to PubMed...
- Pagni, S. D., Denatale, R. W., Ferneini, A. M. (1998) Atherosclerotic aneurysm of proximal subclavian artery: A case report. Am. Surg. 64, 323-327.
Go to PubMed...
- Roubal, P., Ondru/\xB9/ková, O., Gregor, Z., Podlaha, J., Leypold, J. (1997) Karotidosubklaviální by passy. Rozhl. Chir. 7, 333-335.
- ?efránek, V., Tomka, J., Janotík, P., Lesný, P., Danihel, L. (1998) A modified supracalavicular approach for resection of a subclavian aneurysm. Rozhl. Chir. 5, 214-217.
- Szeimiens, U., Kueffer, G., Stoeckelhuber, B., Steckmeier, B. (1998) Succesful exclusion of subclavian aneurysms with covered nitinol stents. Cardiovasc. Intervent. Radiol. 21, 246-249.
Go to original source...
Go to PubMed...