Rupture of a subclavian artery aneurysm in a heroin addict

Whayne, Nancy G.; Spitz, Werner U.

doi:10.1007/bf00203874

Cited by 4 publications

(1 citation statement)

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“…2 A search of the reported data revealed only seven cases of subclavian pseudoaneurysm related to IVDU. [3][4][5][6][7][8] Subclavian pseudoaneurysms can present as a pulsatile neck mass, chest or shoulder pain, hoarseness, hemoptysis, brachial plexus palsy (Pancoast syndrome), or venous stasis and have been associated with limb ischemia, stroke, and rupture. The clinical suspicion for a subclavian pseudoaneurysm should prompt a CT angiogram, which can confirm the diagnosis and provide anatomic information to guide surgery.…”

Section: Discussionmentioning

confidence: 99%

Resection of a giant mycotic left subclavian pseudoaneurysm

Beattie

Aarabi

2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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Subclavian artery pseudoaneurysm due to intravenous drug use is a rare pathologic entity. A 6.6-cm left subclavian artery pseudoaneurysm immediately distal to the origin of the vertebral artery was discovered in a 39-year-old man with neck swelling, bacteremia, and a history of intravenous drug use. The pseudoaneurysm was resected through a median sternotomy and left supraclavicular incision, without reconstruction. This operative approach was opted for given the presence of infection and the ongoing intravenous drug use.

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