A rare presentation and management of thrombosis of an aberrant right subclavian artery related to thoracic outlet syndrome.
| Autor: | Bellamkonda KS; Yale School of Medicine, New Haven, CT, USA., Perez Lozada JC; Department of Radiology and Biomedical Imaging, Division of Vascular and Interventional Radiology, Yale School of Medicine, Connecticut, New Haven, CT, USA., Chaar CIO; Department of Surgery, Yale School of Medicine, Connecticut, New Haven, CT, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Vascular [Vascular] 2022 Apr; Vol. 30 (2), pp. 225-228. Date of Electronic Publication: 2021 Apr 04. |
| DOI: | 10.1177/17085381211002735 |
| Abstrakt: | Objectives: We present a case in which a 44-year-old female smoker with a complex medical and surgical history presented with acute upper limb ischemia. Methods: The patient was diagnosed with thoracic outlet syndrome causing symptomatic thrombosis of an aberrant right subclavian artery associated with diverticulum of Kommerell. The patient had history of extensive surgeries and radiation in the right chest with fibrotic changes, so surgical dissection in the area was associated with significant risk of nerve injury. Therefore, revascularization of the arm was performed via carotid to brachial artery bypass with reversed saphenous vein and the thoracic outlet was decompressed with segmental clavicular resection. Results: Patient has been symptom free for 3 years with patent bypass. Conclusions: This case demonstrates a unique presentation of distal thrombosis of a symptomatic aberrant right subclavian artery related to thoracic outlet syndrome. The combined claviculectomy-vein bypass is a safe and efficacious surgical approach that provides durable relief. |
| Databáze: | MEDLINE |
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