Successful Treatment of a Ruptured Subclavian Artery Aneurysm Presenting as Hemoptysis with a Covered Stent
- Author:
Sung Soo KIM
1
;
Myung Ho JEONG
;
Ji Eun KIM
;
Yi Rang YIM
;
Hyuk Jin PARK
;
Seung Hun LEE
;
Shi Hyun RHEW
;
Young Wook JEONG
;
Ju Han KIM
;
Jeong Gwan CHO
;
Jong Chun PARK
Author Information
- Publication Type:Case Report
- Keywords: Aneurysm; Stents; Subclavian artery
- MeSH: Aneurysm; Aneurysm, Ruptured; Axillary Artery; Femoral Artery; Follow-Up Studies; Hematoma; Hemoptysis; Humans; Phenobarbital; Stents; Subclavian Artery; Thorax; Transplants
- From:Chonnam Medical Journal 2014;50(2):70-73
- CountryRepublic of Korea
- Language:English
- 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 13x5 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.
