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. 2015 Feb 23;11(5):129-131.
doi: 10.1016/j.jccase.2014.10.011. eCollection 2015 May.

Endovascular treatment of ruptured subclavian artery aneurysm presented with hemoptysis

Affiliations

Endovascular treatment of ruptured subclavian artery aneurysm presented with hemoptysis

Sihun Kim et al. J Cardiol Cases. .

Abstract

Ruptured subclavian artery aneurysm (SAA) is extremely rare and it can cause a life-threatening condition. We described an elderly patient with ruptured SAA who underwent endovascular treatment successfully. Our case showed that endovascular repair may be one of the options for the treatment of ruptured SAA when surgical repair is impossible or not indicated for its difficulty. <Learning objective: How to manage ruptured subclavian artery aneurysm by endovascular therapy.>.

Keywords: Endovascular treatment; Ruptured subclavian artery aneurysm; Stent-graft.

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Figures

Fig. 1
Fig. 1
Thoracic CT angiography revealed increased size of left SAA which is starting just above the origin of left subclavian artery (arrow, A) with mural thrombus, extravasation of contrast media to posterior aspect of aneurysm resulting in pseudoaneurysm and formation of hematoma (asterisk, B). After implantation of stent-graft, angiography showed well-positioned stent-graft without evidence of contrast media extravasation (C). Follow-up CT angiography performed at 4 months (D) after procedure showed good patency of stent-graft without evidence of any endoleak, stent thrombosis or occlusion.

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