10
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Tratamiento endovascular de aneurisma subclavio derecho en arco aórtico bovino Translated title: Endovascular treatment of right subclavian aneurysm in bovine aortic arch

      other

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Aneurisma subclavio derecho superior a 50 mm de diámetro en un paciente con arco aórtico bo-vino. Como método complementario al angio TAC se realizó una angiografía digital selectiva que confirmó el diagnóstico y complementó las mediciones necesarias. Se realizó tratamiento endo-vascular exitoso mediante punciones de ambas arterias femorales comunes y de la arteria humeral izquierda, con introductores de 7 Fr, con lo que se logró el control angiográfico total del tronco común. La progresión del cuello aneurismático solo fue posible a través del abordaje humeral. Se resolvió de modo satisfactorio mediante el implante de dos stents graft VBX de 7 × 39 y 6 × 29. Control agiográfico sin signos de endoleak. Se realizó control en UCI a las 24 horas, cuando se trasladó al paciente a la sala general con alta de internación y control por consultas externos. Hasta el momento permanece libre de síntomas.

          Translated abstract

          Abstract Right subclavian aneurysm greater than 50mm in diameter in a patient with a bovine aortic arch. A selective digital angiography was performed as a complementary method to the CT angi-ography, confirming the diagnosis and complementing the necessary measurements. Successful endovascular treatment was performed by puncture of both common femoral arteries and left brachial artery, with 7 fr introducers achieving total angiographic control of the common trunk, making it possible to progress the aneurysmal neck only through the humeral approach. It was resolved satisfactorily by implanting two 7 × 39 and 6 × 29 VBX stent grafts. Agiographic control without signs of endoleak. Monitoring was carried out in the ICU 24 hours a day, transfer to the general ward 24 hours a day, with hospital discharge and control by outpatient clinics. Currently symptom free.

          Related collections

          Most cited references7

          • Record: found
          • Abstract: not found
          • Article: not found

          Changing Profiles of Diagnostic and Treatment Options in Subclavian Artery Aneurysms

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Arteria subclavia derecha aberrante y disfagia lusoria

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Subclavian aneurysm presenting with massive hemoptysis: a case report and review of the literature.

              We present a case of a 70-year-old male with a past medical history of coronary artery bypass grafting and end stage renal disease who presented with massive hemoptysis. He had a history of methicillin-resistant Staphylococcus aureus endocarditis, with infection and removal of endocardial pacing leads. His work-up revealed a 2.9-cm proximal left subclavian artery aneurysm. Bronchoscopy confirmed bright red blood in the left upper lobe bronchus and coronary angiography confirmed a patent left internal mammary artery (LIMA) to left anterior descending bypass. Because of the consideration of maintaining coronary perfusion via the LIMA while excluding the subclavian aneurysm, he underwent a left carotid to left axillary artery bypass graft followed by deployment of an Amplatzer II vascular plug just distal to the aneurysm. A thoracic endograft was then deployed to exclude the origin of the subclavian. A review of the literature reveals hemoptysis as a rare presentation of a subclavian aneurysm. We discuss approaches to this challenging clinical problem, ranging from open repair to hybrid approaches.
                Bookmark

                Author and article information

                Journal
                angiologia
                Angiología
                Angiología
                Arán Ediciones S.L. (Madrid, Madrid, Spain )
                0003-3170
                1695-2987
                October 2023
                : 75
                : 5
                : 341-343
                Affiliations
                [1] Moreno orgnameClínica Privada Alcorta orgdiv1Red de Cirugía Vascular Periférica Argentina
                Article
                S0003-31702023000500011 S0003-3170(23)07500500011
                10.20960/angiologia.00535
                8f709a76-3600-4f1d-8aab-b92696bd794a

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 08 June 2023
                : 24 July 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 7, Pages: 3
                Product

                SciELO Spain

                Categories
                Notas Técnicas

                Subclavian,Arco bovino,Aneurisma,Endovascular,Subclavio,Bovine bow,Aneurysm

                Comments

                Comment on this article