Open surgical treatment of subclavian artery pseudoaneurysm after endovascular repair: a case report

  • Author: Kyo Seon Lee, Yochun Jung, In Seok Jeong, Sang Yun Song, Kook Joo Na, Sang Gi Oh
  • Date: 2022/02/26
  • Journal: Journal of Cardiothoracic Surgery;17(1);25
  • PMID: 35219322
  • PMCID: PMC8882284

Abstract

Background: Subclavian artery aneurysms are rare but may cause life-threatening complications. Surgical repair has been performed as a treatment of choice, but recently, with the development of endovascular treatment, many endovascular repairs have been performed to prevent surgical complications.

Case presentation: A patient undergoing endovascular repair with a subclavian artery aneurysm was diagnosed with a type II endoleak with an enlarged aneurysmal sac. Surgical repair was performed to remove the aneurysmal sac compressing the adjacent organs.

Conclusions: The highly mobile subclavian artery has abundant collaterals. Therefore, regular follow-up is essential for endovascular repair. Surgical repair is effective when adjacent organs are compressed by the aneurysm sac.

Keywords: Aneurysm; Endovascular treatment; Subclavian artery.

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