title: Intravascular Treatment of Left Subclavian Artery Aneurysm Coexisting with Aortic Coarctation in an Adult Patient.
abstract: Coexistence of aortic coarctation with aneurysm of subclavian artery is a uncommon situation and may require unusual treatment in patients. A 40-year-old patient diagnosed incidentally with left subclavian artery aneurysm coexisting with aortic coarctation. Patient was initially referred for hybrid treatment. Initially ostium of the left subclavian artery was covered with a stent-graft. Over a 30-month follow-up period aneurysm became thrombosed all the way up to the ostium of internal mammary artery. The patient did not present with neurological symptoms or signs of upper limb ischemia. Taking into consideration good blood supply to the axillary artery via reversed blood flow in the thyreocervical trunk, hence we decided not to proceed with cervicoaxillary bypass grafting. Implantation stent-graft into aorta coarctation with covering axillary artery is proper way of treatment and may need no other surgical procedures.
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Ryszard
authors.initials: R
authors.lastname: Pogorzelski
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Banacha 1a street, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Wołoszko
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Sadegh
authors.initials: S
authors.lastname: Toutounchi
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Patryk
authors.initials: P
authors.lastname: Fiszer
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Krajewska
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Wawrzyniec
authors.initials: W
authors.lastname: Jakuczun
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Małgorzata M
authors.initials: MM
authors.lastname: Szostek
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Celejewski
authors.affiliation: Department of General and Endocrynology Surgery Medical University of Warsaw, Poland.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Gałązka
keywords: Aortic coarctation; Coarctation complication; Coarctation in adults; Coarctation-associated aneurysms