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Subclavian-axillary artery aneurysms

P C Pairolero, J T Walls, W S Payne

    Surgery
    |October 1, 1981
    PubMed
    Summary
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    Aneurysms of the subclavian-axillary artery are rare but dangerous, potentially causing limb and life-threatening complications. Surgical intervention like resection and arterial reconstruction is recommended for effective treatment.

    Area of Science:

    • Vascular Surgery
    • Arterial Aneurysms
    • Thoracic Outlet Syndrome

    Background:

    • Aneurysms of the subclavian-axillary artery are uncommon vascular conditions.
    • These aneurysms can lead to serious complications, including thromboembolism and rupture.

    Purpose of the Study:

    • To review the clinical presentation, causes, and outcomes of surgical treatment for subclavian-axillary artery aneurysms.
    • To evaluate the efficacy of different surgical approaches and long-term results.

    Main Methods:

    • Retrospective review of 31 patients with subclavian-axillary artery aneurysms treated between 1960 and 1980.
    • Analysis of patient demographics, aneurysm characteristics, etiology, treatment modalities, and follow-up data.

    Main Results:

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    • The study included 31 patients (mean age 47 years), with atherosclerosis and trauma as common causes.
    • Symptoms included upper extremity pain (23 patients), with complications like thromboembolism (5 patients) and rupture (2 patients).
    • Surgical treatments included graft interposition, aneurysmorrhaphy, and decompression, with good outcomes and no recurrence after a mean follow-up of 9.2 years.

    Conclusions:

    • Subclavian-axillary artery aneurysms pose significant life- and limb-threatening risks.
    • Resection and arterial reconstruction are recommended as effective treatment strategies.
    • Prompt diagnosis and surgical management are crucial for favorable patient outcomes.