Dual-Inflow Great Vessel Aneurysm: Delayed Presentation After Penetrating Trauma

We report the management of 14 subclavian artery aneurysms (13 true, one false) occurring in seven male and seven female patients (average age, 48 years). The aetiology of the aneurysms included thoracic outlet syndrome in eight, atherosclerosis in five and infection in one patient. Twelve aneurysms were of extrathoracic location, while two aneurysms were intrathoracic. Symptoms related to subclavian artery aneurysms were present in 11 patients (compression in four, haemorrhage in one, and ischaemia in six patients), whereas three aneurysms were asymptomatic. All aneurysms were treated surgically. The supraclavicular approach was used in 11 cases, and the combined transsternal and supraclavicular approach was used in two cases. After aneurysm resection, the reconstruction was performed with end-to-end anastomosis in five cases and with saphenous vein or synthetic grafts in eight cases. One infected subclavian artery aneurysm was treated with carotid to axillary saphenous vein bypass after exclusion of the aneurysm. Five associated brachial embolectomies and one bypass from the axillary to the distal brachial artery were performed. In all thoracic outlet syndrome cases, decompression at the thoracic outlet was also performed. There was no operative mortality, and the early patency rate was 100%. The follow-up period was from 6 months to 10 years (mean, 3.92 years). During this period, one patient died of malignancy and one patient required reoperation due to aneurysmal degeneration of the saphenous vein graft. Surgical treatment is recommended for all patients with subclavian artery aneurysms to prevent potential complications.

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Subclavian Artery Aneurysms

Davidović

Marković

Pejkić

et al. 2003

Asian Journal of Surgery

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Pseudoaneurysm after ICD battery replacement

Schulz

Lehmkuhl²,

Zipfel³

et al. 2007

Vasa

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False aneurysms of the extracranial carotid arteries are rare and mainly of traumatic origin. We report on a patient who presented with a sudden onset mass in his right neck 2 weeks after routine replacement of his ICD battery. He had received systemic anticoagulation since an aortic valve replacement 5 years before. By color Doppler sonography the mass was identified as a partly thrombosed false aneurysm originating from the common carotid artery. As no spontaneous resolution occurred during the following days the aneurysm was removed surgically 5 days later without further complications. However no connection to the common carotid artery was found at surgery. Yet in the histopathological examination the specimen showed the morphological characteristics of a pseudoaneurysm. There was no history of neck-trauma and no attempted vascular access during the recent operation.

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False Aneurysm of the Left Common Carotid Artery 52 Years after Penetrating Injury of the Chest

Martinod

Warnier²,

Aupècle³

et al. 1999

The Journal of Trauma: Injury, Infection, and Critical Care

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Dual-Inflow Great Vessel Aneurysm: Delayed Presentation After Penetrating Trauma

Cited by 3 publications

References 8 publications

Subclavian Artery Aneurysms

Subclavian Artery Aneurysms

Pseudoaneurysm after ICD battery replacement

False Aneurysm of the Left Common Carotid Artery 52 Years after Penetrating Injury of the Chest

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