|
KMID : 0880520140500020070
|
|
Chonnam Medical Journal
2014 Volume.50 No. 2 p.70 ~ p.73
|
|
|
Successful Treatment of a Ruptured Subclavian Artery Aneurysm Presenting as Hemoptysis with a Covered Stent
|
|
Kim Sung-Soo
Jeong Myung-Ho
Kim Ji-Eun
Yim Yi-Rang
Park Hyuk-Jin
Lee Seung-Hun
Rhew Shi-Hyun
Jeong Young-Wook
Kim Ju-Han
Cho Jeong-Gwan
Park Jong-Chun
|
|
|
Abstract
|
|
|
|
An aneurysm of the subclavian artery is rare. Recently, we experienced a case of a ruptured subclavian artery aneurysm presenting as hemoptysis. The patient had experienced atypical chest discomfort, and computed tomography (CT) revealed a small aneurysm of the left subclavian artery (SCA). Hemoptysis occurred 2 weeks later. Follow-up CT showed a ruptured aneurysm at the proximal left SCA. Endovascular treatment with a graft stent was performed by bilateral arterial access with a 12-Fr introducer sheath placed via cutdown of the left axillary artery and an 8-Fr sheath in the right femoral artery. A self-expandable Viabahn covered stent measuring 13×5 mm was introduced retrogradely via the left axillary sheath and was positioned under contrast guidance with an 8-Fr JR4 guide through the femoral sheath. After the procedure, hemoptysis was not found, and the 3-month follow-up CT showed luminal patency of the left proximal SCA and considerable reduction of the hematoma.
|
|
|
KEYWORD
|
|
|
Aneurysm, Stents, Subclavian artery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|