Chonnam Med J.  2014 Aug;50(2):70-73. 10.4068/cmj.2014.50.2.70.

Successful Treatment of a Ruptured Subclavian Artery Aneurysm Presenting as Hemoptysis with a Covered Stent

Affiliations
  • 1The Heart Center of Chonnam National University Hospital, Cardiovascular Research Institute of Chonnam National University, Gwangju, Korea. myungho@chollian.net

Abstract

An aneurysm of the subclavian artery is rare. Recently, we experienced a case of a ruptured subclavian artery aneurysm presenting as hemoptysis. The patient had experienced atypical chest discomfort, and computed tomography (CT) revealed a small aneurysm of the left subclavian artery (SCA). Hemoptysis occurred 2 weeks later. Follow-up CT showed a ruptured aneurysm at the proximal left SCA. Endovascular treatment with a graft stent was performed by bilateral arterial access with a 12-Fr introducer sheath placed via cutdown of the left axillary artery and an 8-Fr sheath in the right femoral artery. A self-expandable Viabahn covered stent measuring 13x5 mm was introduced retrogradely via the left axillary sheath and was positioned under contrast guidance with an 8-Fr JR4 guide through the femoral sheath. After the procedure, hemoptysis was not found, and the 3-month follow-up CT showed luminal patency of the left proximal SCA and considerable reduction of the hematoma.

Keyword

Aneurysm; Stents; Subclavian artery

MeSH Terms

Aneurysm*
Aneurysm, Ruptured
Axillary Artery
Femoral Artery
Follow-Up Studies
Hematoma
Hemoptysis*
Humans
Phenobarbital
Stents*
Subclavian Artery*
Thorax
Transplants
Phenobarbital
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