Hybrid Repair of Bilateral Subclavian Artery Aneurysms in a Patient with Marfan Syndrome

Bowman, Jonathan; Ellozy, Sharif H.; Plestis, Konstadinos A.; Marin, Michael L.; Faries, Peter L.

doi:10.1016/j.avsg.2009.04.005

Cited by 11 publications

(2 citation statements)

References 13 publications

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“…29,30 Surgical treatment of axillary artery aneurysms carries a higher risk of bleeding and brachial plexus injuries, so some authors have used stent-graft exclusion with good short and mid-term results. 3,18,19,31 However, the risk of stent fracture exists because of the shoulder-high joint range. 29 Also, a type II endoleak is a possible complication due to multiple collaterals.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Mendes

Vaz

Machado

et al. 2022

Vasc Endovascular Surg

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Background Upper extremity arterial aneurysms are a rare, potentially limb-threatening disorder. Due to its rarity, the best treatment modality and outcomes are not entirely established; however, there is a consensus that open surgery is the first-line treatment. We present a complex case of an arterial aneurysm of the subclavian-axillary-brachial axis adequately treated using a hybrid surgical and endovascular treatment. Case Presentation A 59-year-old man presented to the emergency department with acute ischemia of the right upper limb. An extensive thrombosed aneurysm of the subclavian-axillary-brachial axis was identified. The treatment was carried out in two stages. In the first phase, urgent limb revascularization was performed using the great saphenous vein to perform a subclavian-brachial artery bypass. Later, the aneurysm was excluded using a vascular plug and multiple coils. Successful treatment was achieved with no morbidity for the patient. Conclusions Although the gold standard for treating upper limb aneurysms is open surgery, endovascular techniques can be a significant adjunct, reducing treatment morbidity and even mortality.

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Section: Discussionmentioning

confidence: 99%

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Mendes

Vaz

Machado

et al. 2022

Vasc Endovascular Surg

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“…The reconstruction may be performed using interposition, transposition or carotid-subclavian bypass techniques depending on the location and extent of the lesion. Purely endovascular techniques have become increasingly popular [6,7], but the long-term durability is not clear.…”

Section: Discussionmentioning

confidence: 99%

Utility of Preoperative 3D CT Angiography and Proximal Balloon Occlusion to Minimize Morbidity of Open Repair of a True Subclavian Artery Aneurysm

Scali

Beck²,

Huber³

et al. 2012

TOCTSJ

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This report highlights the utility of three dimensional (3D)-CT angiography, in conjunction with combined endovascular and open surgical management, to treat a degenerative subclavian artery aneurysm. The patient presented with an incidentally discovered right subclavian artery aneurysm and underwent surgical reconstruction without complication. Although a variety of case reports in the literature document repair of various subclavian artery pathologies including those associated with aberrant subclavian artery anatomy (Kommerel's diverticulum), iatrogenic pseudoaneurysm, and thoracic outlet compression with post-stenotic dilatation, post-inflammatory and infectious aneurysms; true fusiform degenerative aneurysms of the subclavian artery remain a rare clinical entity. These lesions present with variable anatomic configurations, which can be clearly defined with pre-operative CT or MR angiography. Defining the anatomy with 3D imaging can facilitate clinical decisionmaking and allow potential application of hybrid approaches to surgical management.

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Disorders of the Connective Tissue

Cavallaro

2020

Aneurysms of the Popliteal Artery

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Hybrid Repair of Bilateral Subclavian Artery Aneurysms in a Patient with Marfan Syndrome

Cited by 11 publications

References 13 publications

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Utility of Preoperative 3D CT Angiography and Proximal Balloon Occlusion to Minimize Morbidity of Open Repair of a True Subclavian Artery Aneurysm

Disorders of the Connective Tissue

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