Open Surgical Approach for Type II Endoleak in Subclavian Artery Pseudoaneurysm Presented With Neurological Symptoms After Endovascular Repair

Malekpour, Fatemeh; Hebeler, Katherine R.; Kirkwood, Melissa L.

doi:10.1177/1538574420921278

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…The goal in open surgical repair is to resect the aneurysm while maintaining continuity of blood flow [ 9 ]. Exposure of the artery is challenging due to its location and anatomy, as it is adjacent to the clavicle or sternum [ 10 ]. Sternotomy aids in the exposure of intrathoracic aneurysms and supra/infra-clavicular incisions can be used in extrathoracic aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Open repair of transverse cervical pseudoaneurysm

Dahman,

Abusulayman,

Alharbi

et al. 2024

Journal of Surgical Case Reports

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A 40-year-old woman was referred to the vascular surgery clinic complaining of right shoulder pain and swelling secondary to blunt trauma 4 months ago. Computed tomography angiography showed a partially thrombosed supraclavicular pseudoaneurysm adjacent to the subclavian artery measuring 4.5 × 4 × 3.1 cm. Open repair surgery with resection of the pseudoaneurysm was successfully performed without injury to the capsule. Patient was stable and discharged 2 days later with no complications.

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Section: Discussionmentioning

confidence: 99%

Open repair of transverse cervical pseudoaneurysm

Dahman,

Abusulayman,

Alharbi

et al. 2024

Journal of Surgical Case Reports

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show abstract

“…The surgical treatment for subclavian artery aneurysms involves resecting part of the clavicle or sternum, which poses risks such as injury to adjacent vessels or the brachial plexus [Vierhout]. The development of endovascular techniques has led to the use of less invasive stent-graft insertion, but the subclavian artery presents challenges like endoleak and potential stent kinking or fracture [18,19]. Endoleak is a common complication requiring regular follow-up.…”

Section: Discussionmentioning

confidence: 99%

Case of a Female Patient With Ankylosing Spondylitis and Multiple Aneurysms

Stoimenov,

Gaydarski,

Dineva

et al. 2024

JofIMAB

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Aneurysms of the Valsalva sinuses are rare among cardiovascular disorders, with an incidence rate of 0.15%. Most cases are accidentally diagnosed or constated postmortem. Usually, this type of pathology is asymptomatic and might go undetected for a long time before the aneurism erupts. Patients with larger coronary aneurysms often complain of from chest pain, shortness of breath, and arrhythmia. Another extremely rare cardiovascular pathology is the aneurysm of the subclavian artery, which has a reported rate of 0.13%. Smaller subclavian aneurysms have no clinical manifestation, whereas larger ones cause murmur, pulsation phenomenons, neuropathic pain and ischemia of the upper limb due to compression of the brachial plexus and major vessels. Herein, we report a rare case of a very large aneurisms involving all three coronary sinuses and the whole aortic root in combination with a bilateral giant subclavian aneurism. These findings were made during a routine cardiological examination and further hospitalizations of a 54-year-old woman with chest pain and high blood pressure complaints with known ankylosing spondylitis. Despite their rarity, aneurysms of the sinuses of Valsalva and subclavian arteries are of utmost clinical significance due to the life-threatening complications which might arise from their rupture. Furthermore, such aneurysms pose significant technical difficulties during angiographic procedures. Therefore, detailed knowledge of such pathologies is essential for correctly diagnosing and treating such patients.

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“…However, the subclavian artery has a risk of endoleak due to several branch vessels originating from each anatomical part. Furthermore, since the subclavian artery has several movements and passes through the first rib, stent kinking or fracture may occur [ 1 , 4 ]. Particularly, it is important to determine the status of the internal thoracic artery and VA when treating aneurysms of the proximal part.…”

Section: Discussionmentioning

confidence: 99%

“…However, type II endoleak can also occur because of the surrounding small arteries, even if the branches of the subclavian artery are well managed. Therefore, periodic follow-up is essential because type II endoleaks may subsequently develop because of newly grown small vessels around the aneurysm [ 4 ]. In our case, the patient voluntarily avoided follow-up after endovascular repair, resulting in an enlarged aneurysmal sac by the surrounding small arteries.…”

Section: Discussionmentioning

confidence: 99%

Open surgical treatment of subclavian artery pseudoaneurysm after endovascular repair: a case report

Lee

Jung

Jeong

et al. 2022

J Cardiothorac Surg

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Background Subclavian artery aneurysms are rare but may cause life-threatening complications. Surgical repair has been performed as a treatment of choice, but recently, with the development of endovascular treatment, many endovascular repairs have been performed to prevent surgical complications. Case presentation A patient undergoing endovascular repair with a subclavian artery aneurysm was diagnosed with a type II endoleak with an enlarged aneurysmal sac. Surgical repair was performed to remove the aneurysmal sac compressing the adjacent organs. Conclusions The highly mobile subclavian artery has abundant collaterals. Therefore, regular follow-up is essential for endovascular repair. Surgical repair is effective when adjacent organs are compressed by the aneurysm sac.

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Open Surgical Approach for Type II Endoleak in Subclavian Artery Pseudoaneurysm Presented With Neurological Symptoms After Endovascular Repair

Cited by 5 publications

References 14 publications

Open repair of transverse cervical pseudoaneurysm

Open repair of transverse cervical pseudoaneurysm

Case of a Female Patient With Ankylosing Spondylitis and Multiple Aneurysms

Open surgical treatment of subclavian artery pseudoaneurysm after endovascular repair: a case report

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