Carotid Subclavian Bypass and Stent Grafting for Mycotic Pseudoaneurysm of Right Subclavian Artery

Chan, Dexter Yak Seng; Chong, Tsung Wen

doi:10.1016/j.avsg.2015.03.059

Cited by 3 publications

(9 citation statements)

References 16 publications

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“…Therefore, we elected to perform a stent graft placement with right subclavian to carotid artery bypass. The similar case was reported by Chan and Chong 6 with no sign of recurrence at 1-year follow-up. In our case, we selected axillary artery as inflow to avoid the previous pectoral muscle flap.…”

Section: Discussionsupporting

confidence: 86%

“…There have been case reports of open repair, endovascular repair with stent graft, and endovascular coiling. 6,8 –10 The location of the aneurysm in our case was at the origin of the subclavian artery, and it was determined that the patient was not suitable for sternotomy. Due to the proximity to the innominate artery, there was no proximal landing zone for endovascular stent graft placement without covering the origin of the right carotid artery.…”

Section: Discussionmentioning

confidence: 85%

“…1,4 Popliteal artery MA are less common, and only few cases of true subclavian artery MA have been reported. [5][6][7][8][9][10] The most common causative organisms are Salmonella, S aureus, and Streptococcus species. [2][3][4]11 Nonsurgical treatment with antibiotics often brings higher mortality due to persistent sepsis and rupture of the aneurysm compared to surgical repair.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular Repair of Three Concurrent Mycotic Pseudoaneurysms

Asai

Houtte

Sullivan

et al. 2018

Vasc Endovascular Surg

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Endovascular Repair of Three Concurrent Mycotic Pseudoaneurysms

Asai

Houtte

Sullivan

et al. 2018

Vasc Endovascular Surg

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“…Bloodstream and thoracic infections [31] 1 (25) Endocarditis [18] 1 (25) Sepsis [11] 1 (25) Septicemia [24] 1 (25) Local and systemic infections: 1 (4.5)…”

Section: Resultsmentioning

confidence: 99%

Mycotic subclavian artery aneurysms: a scoping review

Yuan,

Yuan

2023

pwki

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Introduction: Mycotic subclavian artery aneurysms (SAAs) are a very rare disorder. Aim: To provide an overview of current knowledge on clinical features, management strategies and outcome evaluations of mycotic SAAs.Material and methods: The study materials were based on comprehensive literature retrieval of publications of mycotic SAAs published between 2000 and 2023.Results: Contaminated mechanical injuries and abscess erosions of the arterial walls are mechanisms of mycotic SAAs. The diagnosis relies on detection of pathogenic microorganisms by cultures or microbiological investigations of blood, other fluids and infected tissues as well as medical imaging visualization. The indications for an interventional therapy were poor general condition, high surgical risk, and rescue exclusion for a ruptured pseudoaneurysm. Three (9.1%) pre-treatment deaths were a result of sudden rupture of the mycotic SAAs and thus they lost the opportunity of treatment. All post-treatment deaths occurred in the interventional patient group, whereas the causes of death seemed to be unrelated to mycotic SAAs per se or to treatments of choice. Patient outcome evaluations revealed no significant difference between different treatments of choice. No significant predictive risk factors were responsible for patient outcomes.Conclusions: Once a diagnosis of mycotic SAA is made, sensitive antibacterial drugs are applied immediately to control the infection and control aneurysmal progression. Early treatment is conducted as soon as possible to avoid aneurysmal rupture. A decision on treatment of choice is made based on the patient's specific condition. Antibacterial drug use is continued for about 6 weeks after surgical or interventional therapy.

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“…The open approach is the traditional method of repair for these aneurysms, however, successful management using the endovascular or combined (hybrid) approach have also been described in some case reports. [1][2][3][4] Most surgeons however favor the open repair whenever feasible for adequate source control, especially in patients with limited or no co-morbidities. 5 This case report describes our technique for repairing a proximal mycotic left subclavian aneurysm and also highlights the importance of early management and a multi-disciplinary team approach.…”

Section: Introductionmentioning

confidence: 99%

Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery

Obisesan

Manchester

Lin

et al. 2022

Vasc Endovascular Surg

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Mycotic subclavian aneurysms are rare, and their presence typically mandates urgent repair due to the associated high risk of rupture and mortality. A multi-disciplinary team effort is of utmost importance in ensuring favorable results. In this case report, we present a 79-year-old male with a rapidly enlarging mycotic left subclavian artery aneurysm secondary to a retrosternal abscess and left sternoclavicular septic arthritis, who underwent aneurysmal exclusion, a left carotid-left axillary bypass and pectoralis muscle flap coverage with a good outcome.

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Carotid Subclavian Bypass and Stent Grafting for Mycotic Pseudoaneurysm of Right Subclavian Artery

Cited by 3 publications

References 16 publications

Endovascular Repair of Three Concurrent Mycotic Pseudoaneurysms

Endovascular Repair of Three Concurrent Mycotic Pseudoaneurysms

Mycotic subclavian artery aneurysms: a scoping review

Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery

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