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

Lee, Kyo Seon; Jung, Yochun; Jeong, In Seok; Song, Sang Yun; Na, Kook Joo; Oh, Sang Gi

doi:10.1186/s13019-022-01775-0

Cited by 9 publications

(7 citation statements)

References 8 publications

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“… 5 , 11 In a patient with large subclavian pseudoaneurysm when long-term follow-up is difficult, open surgical repair is a reasonable option. 12 In our case, the patient had a large pseudoaneurysm and lived in a rural area approximately 5-hour far from an equipped hospital, making periodic follow-up very difficult. Therefore, a combined infra- and supraclavicular approach was the primary method for the successful treatment in this case.…”

Section: Discussionmentioning

confidence: 78%

Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report

Almadwahi¹,

Halboob²

2022

IMCRJ

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Penetrating trauma involving the subclavian vessels is rare but associated with life- threatening sequelae, including hemomediastinum, formation of pseudoaneurysm and limb ischemia. Conventional open surgery and endovascular repairs are effective treatment modalities for subclavian-related injuries, but the latter has become more attractive owing to being less invasive and less procedure-related complications. We report a case with left subclavian artery pseudoaneurysm secondary to a bomb blast. The patient was successfully treated by surgical repairs using a combination of supra- and infraclavicular approaches. The patient recovered completely and discharged home on the third day. In a resource-limited setting, traditional surgical repair is an effective therapy for posttraumatic pseudoaneurysm, especially when the adjacent organs are compressed by the pseudoaneurysm. Vascular injury should be suspected once a patient presents with localized pulsatile mass in the clavicular region following roadside bomb blasts injuries.

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Section: Discussionmentioning

confidence: 78%

Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report

Almadwahi¹,

Halboob²

2022

IMCRJ

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“…The treatment for subclavian artery pseudoaneurysms is either by open or endovascular approach. 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 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sternotomy aids in the exposure of intrathoracic aneurysms and supra/infra-clavicular incisions can be used in extrathoracic aneurysms. In some cases, clavicular resection is considered [ 9 ]. The need for manipulation of peri-clavicular anatomy may injure the brachial plexus and adjacent vessels, contributing to morbidity and mortality with open surgical repair [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other options include endovascular treatment [ 3 , 12 ], but long-term outcomes of this approach in subclavian artery pseudoaneurysms are limited [ 13 ]. Guidelines for treatment of subclavian artery pseudoaneurysms and branch pseudoaneurysms have not been established, but both open and endovascular approachs may be adopted dependent on their location and configuration [ 9 , 13 ]. Regardless of approach, all anyeursms must be treated irrespective of size.…”

Section: Discussionmentioning

confidence: 99%

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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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“…Open surgical repair aims to remove the aneurysm and maintain blood flow continuity but may require clavicular resection or sternotomy. Treatment choice depends on the aneurysm's location and size, and continuous follow-up is crucial for both endovascular repair and open surgery [21]. There is also a relation between ankylosing spondylitis and cardiovascular diseases.…”

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

Cited by 9 publications

References 8 publications

Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report

Open Surgical Repair of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report

Open repair of transverse cervical pseudoaneurysm

Case of a Female Patient With Ankylosing Spondylitis and Multiple Aneurysms

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