Single center experience in the management of a case series of subclavian artery aneurysms

Davidović, Lazar; Zlatanović, Petar; Dučić, Stefan; Končar, Igor; Cvetić, Vladimir; Kuzmanovic, Ilija

doi:10.1016/j.asjsur.2019.04.012

Cited by 10 publications

(21 citation statements)

References 21 publications

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“…2 The etiology is variable and includes atherosclerotic aneurysms, trauma, post stenotic dilation in thoracic outlet syndrome, and genetic arteriopathies such as MFS, Loeys Dietz syndrome, and vascular Ehlers-Danlos syndrome. [3][4][5][6][7][8] Our case demonstrates the workup that was undertaken upon diagnosis of an extrathoracic SCAA owing to MFS to differentiate it from the other etiologies and how this dictated the surgical decision making. Workup includes attention to features of genetic arteriopathies, such as musculoskeletal abnormalities (scoliosis, pectus abnormalities), other concurrent aneurysms/dissections, arterial tortuosity, and family history of aneurysms, dissections, and sudden death.…”

Section: Discussionmentioning

confidence: 98%

Extrathoracic subclavian artery aneurysm in a patient with suspected genetic arteriopathy

Banning

Malleis

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a case of a 4-cm left extrathoracic subclavian artery aneurysm (SCAA) in a 58-year-old man with an aortic root and abdominal aortic aneurysm. The patient had features suggestive of genetic arteriopathy, including vertebral artery tortuosity, pectus excavatum, tall stature, and scoliosis. The SCAA was successfully repaired with an inline prosthetic graft and anastomotic pledgets via a supraclavicular approach. Genetic testing revealed an FBN1 pathogenic variant consistent with Marfan syndrome. Repair is satisfactory 2 years later. Patients with SCAA should include consideration of genetic arteriopathy. Open repair of the extrathoracic SCAA in Marfan syndrome is recommended.

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Section: Discussionmentioning

confidence: 98%

Extrathoracic subclavian artery aneurysm in a patient with suspected genetic arteriopathy

Banning

Malleis

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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show abstract

“…[2][3][4] Reports on subclavian artery aneurysms after 2018 are shown in Table 1. 3,[13][14][15][16][17][18][19][20][21][22] Treatment methods consisted of open surgery in 25 patients, endovascular treatment in 13, and their combination in 3. Endovascular treatment procedures consisted of stent grafting in 12 patients, stenting in 2, stent-assisted coil embolization in 1, and coil embolization in 1.…”

Section: Discussionmentioning

confidence: 99%

Successful Balloon-assisted Coil Embolization of Right Subclavian Artery Aneurysm: A Case Report

Nampei

Shiba

Sakaida

et al. 2020

JNET

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Objective: Subclavian artery aneurysms are relatively rare, and have been treated by open surgery and/or endovascular treatment using a stent graft. In this article, we report a case of unruptured right subclavian artery aneurysm successfully treated using balloon-assisted coil embolization. Case Presentation:A 77-year-old man was diagnosed with an asymptomatic unruptured right subclavian artery aneurysm of 8 mm in diameter by follow-up CTA after surgery for thoracoabdominal aortic aneurysms. He also had a history of cerebral infarction and clipping of an unruptured cerebral aneurysm. The subclavian artery aneurysm was treated by balloon-assisted coil embolization because its diameter increased to 17.6 mm in 2 years. Balloon assistance was mainly used to prevent protrusion of the framing coil into the parent artery, and satisfactory framing was achieved.Subsequently, the aneurysm was obliterated using filling and finishing coils. The postoperative course was uneventful, and the follow-up MRI at 18 months after treatment revealed no recanalization of the aneurysm. Conclusion:Balloon-assisted coil embolization may be an effective treatment for subclavian artery aneurysms, but further long-term follow-up and case accumulation are needed.Keywords▶ subclavian artery aneurysm, balloon-assisted coil embolization, endovascular, total arch replacement This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.

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“…Open, endovascular, and hybrid approaches to treat SAA have similar reported morbidity and mortality rates 1,3,12,13 . In one review of 381 SAA repairs, overall complication rates were 27% for open repair, 25% for endovascular repair, and 20% for hybrid repair.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 98%

“…The most frequently observed complications were postoperative thrombosis and cardiopulmonary events 3 . Exposure for surgical SAA repair depends on laterality and intra-versus extra-thoracic extent 1 .…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

See 1 more Smart Citation

Claviculectomy for exposure and redo repair of expanding, recurrent right subclavian aneurysm

Bellomo

Robinson

Lynch

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Single center experience in the management of a case series of subclavian artery aneurysms

Cited by 10 publications

References 21 publications

Extrathoracic subclavian artery aneurysm in a patient with suspected genetic arteriopathy

Extrathoracic subclavian artery aneurysm in a patient with suspected genetic arteriopathy

Successful Balloon-assisted Coil Embolization of Right Subclavian Artery Aneurysm: A Case Report

Claviculectomy for exposure and redo repair of expanding, recurrent right subclavian aneurysm

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