Faculty Collaboration Database

Successful urgent endovascular surgery for symptomatic subclavian artery aneurysmal compression of the trachea. Catheter Cardiovasc Interv 2005 Mar;64(3):291-5 PMID: 15736257

Pubmed ID

15736257

Abstract

The purpose of this study is to report the progress of a patient who entered the hospital with symptomatic tracheal compression from a large right subclavian artery aneurysm that was treated with a self-expanding stent graft. The patient was at increased risk for traditional surgery, thus endovascular isolation of the aneurysm was felt to be reasonable. A flexible self-expanding stent graft was placed via a brachial artery cutdown and common femoral access without complication. The symptoms improved and the patient remained asymptomatic at 2-year follow-up with serial CT scan confirmation of aneurysm regression. This unusual case illustrates that endovascular decompression of an aneurysm may have some benefit in alleviating subacute symptoms of extrinsic encroachment into other vital structures. Technical and clinical success was achieved with the stent graft deployment and this seems to be a reasonable alternative to surgery in such patients.

Author List

Bates MC, Aburahma AF, Crotty B

Author

Bradley H. Crotty MD Assistant Professor in the Medicine department at Medical College of Wisconsin

Scopus

2-s2.0-14644423909   12 Citations

MESH terms used to index this publication - Major topics in bold

Aged
Aneurysm
Angiography
Blood Vessel Prosthesis Implantation
Emergencies
Follow-Up Studies
Humans
Male
Radiography, Thoracic
Stents
Subclavian Artery
Tomography, X-Ray Computed
Tracheal Stenosis