Extrathoracic subclavian artery aneurysm in a patient with suspected genetic arteriopathy

Banning, Stephanie; Ur, Rebecca; Malleis, James; Hamlat, Christian A.; Byers, Peter H.; Shalhub, Sherene

doi:10.1016/j.jvscit.2020.11.008

Cited by 3 publications

(2 citation statements)

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“…As subclavian artery aneurysms (SAAs) are uncommon, there is a paucity of literature regarding surgical repair technique. [18] Since the natural history of SAAs is unknown and no guidelines regarding the timing of intervention are available, early treatment is necessary in order to prevent potential complications. [19] The indication for exclusion of an SAA depends on prevention of upper limb thrombosis, embolisation and rupture.…”

Section: Subclavianmentioning

confidence: 99%

Surgical treatment of subclavian artery aneurysms

Salem

et al. 2021

Zagazig University Medical Journal

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Background: Subclavian artery aneurysms (SAAs) are uncommon aneurysms.SAA is potentially serious disease due to complications. Objective: to evaluate the surgical treatment of SAAs and its complications. Methods: Fifteen patients with SAAs: 13 patients (86.67%) had extrathoracic (ET) aneurysms and two patients (13.33%) had intrathoracic (IT) aneurysms. Thoracic outlet syndrome (TOS) was presented in 8 patients (53.33%), while, atherosclerosis was presented in 7patients (46.67%). Laboratory & radiological studies were done. All patients were treated surgically. Results: In 13 patients with extrathoracic aneurysms, a supraclavicular approach to the subclavian artery was used in (6/13, 46.15%), supraclavicular and infraclavicular approach was used in (7/13, 53.85%) cases. After excision of the aneurysm, graft interposition using (PTFE) and saphenous vein graft bypass were done in (6/13, 46.15% & 5/13 , 38.46 %) patients respectively. In two patients (2/13, 15.38 %), aneurysmal excision and end to end anastomosis were done. While in two patients with intrathoracic aneurysms, a combined left thoracotomy and supraclavicular approach was used. Common carotid-subclavian bypass using Dacron graft was done. In (6/8, 75 %) of patients with TOS, decompression was performed before arterial reconstruction. In three (37.50 %) patients with cervical rib, the cervical rib was resected. In three patients (37.50 % ) with scalene syndrome, scalenectomy of the scalenus anterior muscle was done. In two patients (2/8, 25 %) with brachial artery embolism, embolectomy was done. Conclusions: Early intervention was needed, especially in distal SAAs, because of the risk of thrombo-embolic complications. Open repair is sill the gold standard intervention for SAA.

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Section: Subclavianmentioning

confidence: 99%

Surgical treatment of subclavian artery aneurysms

Salem

et al. 2021

Zagazig University Medical Journal

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“… 1 , 2 , 3 , 4 , 5 , 6 Genetic arteriopathy conditions such as Marfan syndrome (MFS), vascular Ehlers-Danlos syndrome (VEDS), and Loeys-Dietz syndrome are known risk factors for SCAAs. 2 , 7 , 8 , 9 , 10 We report the surgical approaches for right intrathoracic SCAA repair in three patients with genetic arteriopathy to demonstrate tailored operative approaches. The institutional review board approved the study, and patients consented to publication.…”

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confidence: 99%