Combined operative and endovascular treatment of a post-traumatic embolizing aneurysm of the subclavian artery.
OBJECTIVE
To describe a combined endovascular and surgical approach for an embolizing subclavian artery aneurysm as an alternative to conventional reconstructive surgery.


RESULTS
A 39-year-old woman presented with a post-traumatic aneurysm of the left subclavian artery and occlusion of the brachial artery due to embolization. Exclusion of the aneurysm was achieved by intraoperative implantation of a covered stent during simultaneous reconstruction of the brachial artery by a venous bypass graft. The patient is well and free of symptoms 24 months after the operation.


CONCLUSIONS
Repeat operative trauma to the supraclavicular region was avoided by transluminal implantation of a covered stent-graft in combination with an axilloulnar bypass procedure for chronic embolic occlusion of the brachial artery.
Meyer
T
T
Department of Surgery, University Hospital Erlangen, Germany.
Merkel
S
S
Lang
W
W
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D001916:Brachial Artery; D002968:Clavicle / Q000293:injuries; D004617:Embolism / Q000209:etiology* / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology; D011542:Pseudarthrosis / Q000150:complications / Q000601:surgery; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging