Delayed Endovascular Stenting of Right Subclavian Artery Pseudoaneurysm Caused by Gunshot Accident in a Syrian Refugee: A Case Report

Abstract

Sharp penetrating injuries causing right subclavian artery pseudoaneurysm are considered rare. Surgical repair is reportedly associated with a high mortality rate and is considered technically challenging. In this case report, we report the successful endovascular repair of a delayed pseudoaneurysm of the right subclavian artery caused by a gunshot injury in a 22-year-old Syrian refugee that was associated with significant right brachial panplexopathy. The patient was successfully managed with angioplastic ballooning of the stenotic region of the artery and a covered self-expanding stent. The patient recovered uneventfully, and follow-up evaluation revealed significant improvement in neurological deficit.

Ruptured subclavian artery pseudoaneurysm following a shoulder massage on a background of clavicle non-union

“…These dissections carry a risk of neural injuries, in particular the brachial plexus, recurrent laryngeal nerve and phrenic nerve with significant long-term complications associated, even with early recognition and repair of nerve injury 11. Endovascular intervention in the form of stenting the subclavian artery is a less invasive repair option, with reduced pain, bleeding risk and infectious complications 18 19. There is still a paucity of evidence into the long-term results of subclavian stents, including patency rates, in particular for young trauma cases such as this.…”

Radiological Findings and Endovascular Treatment of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report

“…En sık sebep travmadır. 4,5,6 Ekstremite psödoanevrizmları şişlik, ağrı gibi şikayetlere neden olabileceği gibi rüptür, enfeksiyon, tromboembolik komplikasyonlar, kompresyona bağlı nörovasküler semptom ve bulgulara da neden olabilir. 7 Bu nedenle erken tanı ve tedavisi önemlidir.…”

Endovascular Treatment of Subclavian Artery Pseudoaneurysm

“…10 A pseudoaneurysm can produce symptoms such as dyspnea, dysphagia, upper limb edema, and upper limb ischemia by compression of the surrounding tissues, and can cause life- threatening massive hemorrhage in case of rupture of the pseudoaneurysm. 6,11 It can also be asymptomatic, occurring in weeks to years after the trauma, averaging about 5 years. 11 In our case series, the shortest time from trauma to the discovery of SAP was 6 months and the longest time was 5 years, which is consistent with the reports above.…”