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Case Reports
. 2017 Jan-Mar;27(1):17-19.
doi: 10.4103/2211-4122.199061.

Subclavian Artery Pseudoaneurysm in an Unusual Case of Digital Gangrene

Bhuban Majhi  1 , Nandita Pal  2
Affiliations
Case Reports

Subclavian Artery Pseudoaneurysm in an Unusual Case of Digital Gangrene

Bhuban Majhi et al. J Cardiovasc Echogr. 2017 Jan-Mar.

Abstract

A young male patient presented at a tertiary care hospital with cold and bluish left upper limb accompanied with digital gangrene arousing suspicion of peripheral vascular disease. History did not reveal any high-risk behavior. Clinical examination and subsequent investigations lead to the diagnosis of acute infective endocarditis of native aortic valve along with peripheral embolism caused by methicillin-resistant Staphylococcus aureus. Fogarty's balloon embolectomy was done following which patient developed pseudoaneurysm of the left subclavian artery. These iatrogenic sequelae were managed with the resection of the pseudoaneurysm and prolonged antibiotic therapy as per the culture and sensitivity report.

Keywords: Digital gangrene; infective endocarditis; mycotic emboli; subclavian artery pseudoaneurysm.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Vegetations in the right and noncoronary cusps of aortic valve in two-dimensional echocardiography.
Figure 2
Figure 2
Severe aortic incompetence seen in color Doppler echocardiography.
Figure 3
Figure 3
Pseudoaneurysm of subclavian artery seen by peripheral arterial Doppler.
See this image and copyright information in PMC

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