Endovascular treatment of a symptomatic aneurysm of the left subclavian artery.
Upper extremity ischemia is a rare entity usually due to emboli of arterial origin. Such thromboemboli produce acute symptoms of sufficient severity as to necessitate early surgical intervention. We report the case of a patient with severe ischemia in his left hand, in whom the embolic source was a mural thrombus localized at the level of a saccular aneurysm of the subclavian artery. After having excluded the presence of a thoracic outlet syndrome, the lesion was successfully treated by means of percutaneous implantation of a stent graft with the exclusion of the aneurysm and the sealing of the thrombus.
Danzi
Gian Battista
GB
Interventional Cardiology Unit, Poliambulanza Hospital, Brescia, Italy. gbdanzi@tin.it
Sesana
Marco
M
Bellosta
Raffaello
R
Capuano
Cinzia
C
Baglini
Roberto
R
Sarcina
Antonio
A
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D017546:Angioscopy; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D001809:Blood Viscosity / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D018616:Ultrasonography, Doppler, Duplex