Subclavian Artery – ABC CARDIOL

ABCIC

Case Report

Successful Occlusion of a Giant Subclavian Artery Aneurysm Sac with a Vascular Plug: A Case Report

Abstract

Subclavian artery aneurysms are rare vascular anomalies that carry significant risks, including thromboembolism, ischemia, and rupture. This case report describes a 71-year-old female patient presenting with left arm ischemia, including pain, numbness, and weakness, caused by a left subclavian artery aneurysm complicated by distal thrombosis. Imaging revealed a 65 × 55 mm aneurysm with a 2.5 cm thrombotic occlusion. The aneurysm was treated with an endovascular approach, utilizing a vascular plug deployed via femoral access. This was preceded by failed attempts to access the lesion through the radial approach due to the presence of thrombotic occlusion and complex vascular anatomy. After the procedure, the patient experienced significant symptom relief, and follow-up imaging confirmed thrombosis of the aneurysm sac. This case highlights the effectiveness of endovascular techniques in managing complex subclavian artery aneurysms and emphasizes the importance of individualized treatment strategies and close follow-up.

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ABC

Research Letter

Tetralogy of Fallot Associated with Aberrant Right Subclavian Artery. Clinical Implications

Maciej Michałowski et al. Pawel Tyczynski Magdalena Lipczynska Anna Wójcik … Piotr Hoffman Adam Witkowski Ilona Michałowska

Abstract

Since the first description of Tetralogy of Fallot (ToF) in 1671 by Niels Stensen and in 1888 by Étienne-Louis Arthur Fallot, numerous papers have reported on this anomaly, along with its variants and concomitant cardiovascular anomalies. Aberrant right subclavian artery (ARSA) is the most common anomaly of the aortic arch. Different from the left aberrant subclavian artery, occurrence of ARSA in ToF-patients has only casuistically been reported so far. The present study reports on two ToF-patients with ARSA. It is important to note that knowledge of the coexistence of both anomalies has highly practical points during surgical or endovascular corrections of congenital heart defects (including ToF).

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Aberrant Right Subclavian Artery and Lusoria Dysphagia

Milton Sérgio Bohatch Júnior et al. Amanda Fernandes Vidal da Silva Ademar Regueira Filho Marcelo Haddad Dantas Roberto Teodoro Beck

[…]

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ABC

Case Report

Atypical presentation of Kommerell's diverticulum

Adriana Dias Barranhas et al. João Mauricio Canavezi Indiani Edson Marchiori Alair Augusto S. M. D. dos Santos … Carlos Eduardo Rochitte Marcelo Souto Nacif

The authors report a case of a 65-year-old male patient who, after complaint about retrosternal discomfort and going through a thoracic radiography with mediastinal enlargement, was submitted to magnetic resonance angiography, which detected a right aortic arch with aberrant left subclavian artery and Kommerell diverticulum. A literature review was the basis for our clinical conduct, for the surgical treatment is complex. The patient presented improvement with clinical treatment and, currently, is under ambulatory follow-up care, with control proposed for three months later or in case of worsening.

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Successful Occlusion of a Giant Subclavian Artery Aneurysm Sac with a Vascular Plug: A Case Report

Abstract

Tetralogy of Fallot Associated with Aberrant Right Subclavian Artery. Clinical Implications

Abstract

Aberrant Right Subclavian Artery and Lusoria Dysphagia

Atypical presentation of Kommerell's diverticulum

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