Spontaneous Rupture of the Left Subclavian Artery in Neurofibromatosis

Slisatkorn, Worawong; Subtaweesin, Thaworn; Laksanabunsong, Pansak; Warnnissorn, Malee

doi:10.1177/021849230301100320

Cited by 10 publications

(6 citation statements)

References 9 publications

(16 reference statements)

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“…Bu olguda da hapşırma sonucunda sağ subklavian arterde komplet transeksiyon meydana gelmiştir. Literatürde subklavyen artere ait spontan rüptür vakaları daha çok nörofibromatozis ve Ehlers-Danlos gibi altta yatan hastalığı olan kişilerde tanımlanmıştır (6)(7)(8). Bu hastanın tanı almış herhangi bir kronik hastalığı bulunmamaktadır.…”

Section: Discussionunclassified

Spontaneous Subclavian Artery Transection after Sneezing

Sezgin¹,

Aksel²,

Akbal³

et al. 2015

JAEMCR

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Introduction: Spontaneous subclavian artery injuries are extremely rare vascular emergencies. We aimed to present a case with subclavian artery transection after sneezing.Case Report: An 18-year-old male presented to the emergency department with the complaint of right shoulder pain after sneezing. His vital signs and physical examination were all normal. On the chest radiography, the mediastinal width was 7 cm. He was discharged. He presented to the emergency department after 5 hours from discharge with complaints of chest pain and dyspnea. He was hypotensive and tachycardic. Brachial and radial pulses were not palpable. A massive hemothorax was detected. Tube thoracostomy was performed, and his hemodynamic parameters deteriorated rapidly. Urgent thoracotomy was performed, and cardiac arrest occurred during the hemorrhage control. In the postmortem exploration, a complete subclavian artery transection was confirmed at the outlet of the arcus aorta. Conclusion:Sneezing is a minor trauma that precipitates spontaneous artery dissection. It was known that a mediastinal width of over 6 cm is associated with increased mortality. An advanced radiological assessment will be useful for patients who present to the emergency department with complaints of chest, back, shoulder, or arm pain after a sudden movement and have a mediastinal width of over 6 cm.

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Section: Discussionunclassified

Spontaneous Subclavian Artery Transection after Sneezing

Sezgin¹,

Aksel²,

Akbal³

et al. 2015

JAEMCR

View full text Add to dashboard Cite

show abstract

Section: Discussionunclassified

Spontaneous Subclavian Artery Transection After Sneezing

Sezgin¹,

Aksel²,

Akbal³

et al. 2014

JAEMCR

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“…In medium and large vessels, it is thought that the spindle or epithelioid cells invade into the adventitia and media causing a weakening of the vessel wall in the nodular form. 8,9 Another hypothesis has also been considered involving local compression on the vasa vasorum of large arteries. The compressive effect similarly results in a weakened segment of the vessel wall with an equally unfavorable outcome of aneurysm formation and ruptures.…”

Section: Discussionmentioning

confidence: 99%

“…The renal arteries are the most common vessels affected in patients with neurofibromatosis and most often are afflicted by stenosis, not by aneurysmal formation or dissection. 8 In descending frequency, the affected arteries are the superior mesenteric, cerebral, and thyrocervical arteries, including the subclavian vessels. 9 Coarctation of the aorta, either thoracic or abdominal, has also been reported in patients with von Recklinghausen.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Therapy for Subclavian Artery Rupture in von Recklinghausen Disease

Santin

Bourekas

et al. 2010

Vasc Endovascular Surg

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Vascular anomalies are extremely rare in patients with von Recklinghausen disease. This report presents a case of an acute spontaneous subclavian artery rupture in a patient with von Recklinghausen disease. A 44-year-old woman with a history of neurofibromatosis type 1, multiple sclerosis, and aortic valve replacement experienced a ''popping sensation'' in her neck. An emergent angiogram via a right brachial artery approach revealed active extravasation of contrast from the proximal part of the right subclavian artery between the vertebral and axillary arteries. An 8 mm × 5 cm endoprosthesis stent graft was placed across the area of extravasation via the brachial sheath. Completion angiography revealed brisk flow through the stent graft with resolution of the area of extravasation and no residual stenosis. Arterial rupture, aneurysm formation, stenosis, and dissection can be fatal in patients with neurofibromatosis. Further research is needed to determine screening guidelines and management algorithms for this patient population.

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Spontaneous Rupture of the Left Subclavian Artery in Neurofibromatosis

Cited by 10 publications

References 9 publications

Spontaneous Subclavian Artery Transection after Sneezing

Spontaneous Subclavian Artery Transection after Sneezing

Spontaneous Subclavian Artery Transection After Sneezing

Endovascular Therapy for Subclavian Artery Rupture in von Recklinghausen Disease

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