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Related Experiment Videos

Subclavian artery aneurysms.

Lazar B Davidović1, Dragan M Marković, Sinisa D Pejkić

  • 1Institute for Cardiovascular Diseases, Clinical Center of Serbia, Belgrade, Yugoslavia. lazard@eunet.yu

Asian Journal of Surgery
|January 16, 2003
PubMed
Summary

Surgical management of subclavian artery aneurysms, including true and false types, demonstrated excellent early results. Surgical intervention is recommended to prevent complications from these vascular conditions.

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Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Surgical Management

Background:

  • Subclavian artery aneurysms are rare but can lead to serious complications.
  • Etiologies include thoracic outlet syndrome, atherosclerosis, and infection.
  • Symptoms range from compression and ischemia to hemorrhage.

Purpose of the Study:

  • To report the surgical management and outcomes of subclavian artery aneurysms.
  • To evaluate the efficacy of surgical repair in preventing complications.

Main Methods:

  • Retrospective analysis of 14 subclavian artery aneurysms (13 true, 1 false).
  • Surgical approaches included supraclavicular and transsternal routes.
  • Reconstruction utilized end-to-end anastomosis, saphenous vein, or synthetic grafts.

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Main Results:

  • No operative mortality and 100% early patency rate.
  • Follow-up of 6 months to 10 years revealed one late reoperation for graft degeneration.
  • Surgical treatment effectively managed aneurysms, with associated procedures for thoracic outlet syndrome and brachial artery issues.

Conclusions:

  • Surgical treatment is effective for subclavian artery aneurysms.
  • Early and late outcomes are favorable, with low complication rates.
  • Proactive surgical management is advised for all patients with subclavian artery aneurysms.