title: Endovascular repair of a life-threatening radiation-induced ruptured false aneurysm of the intrathoracic left subclavian artery: case report.
abstract: Massive hemorrhage in tracheostomy patients is generally described as a result of a tracheoinnominate artery fistula. Other etiologies for rupture of a false aneurysm are rare. The classical procedure for subclavian artery aneurysm is open surgery. Endovascular techniques have been accepted by several authors as a possible minimally invasive alternative. We report a life-threatening radiation-induced ruptured false aneurysm of the intrathoracic subclavian artery successfully treated by endovascular stent graft through left brachial access in a tracheostomy patient.
authors: Department of Vascular and Thoracic Surgery, St Pierre University Hospital, Brussels, Belgium.
authors: Pascale
authors: P
authors: Hizette
authors: Department of Vascular and Thoracic Surgery, St Pierre University Hospital, Brussels, Belgium.
authors: David
authors: D
authors: Horn
authors: Department of Vascular and Thoracic Surgery, St Pierre University Hospital, Brussels, Belgium.
authors: Jean
authors: J
authors: Lemaitre
authors: Department of Vascular and Thoracic Surgery, St Pierre University Hospital, Brussels, Belgium.
authors: Bernard
authors: B
authors: Segers
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D004630:Emergencies; D057510:Endovascular Procedures / Q000295:instrumentation; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome
keywords: endovascular repair; radiation-induced aneurysm; ruptured aneurysm; subclavian artery; tracheostomy hemorrhage