Aneurysm of the subclavian artery.

P Utíkal, P Bachleda, M Köcher, J Novotný, P Drác, P Drác
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Abstract

In this case report about a female patient with a true aneurysm of the left subclavian artery (SAA), the authors would like to present the symptoms, possibilities of diagnostics and management of this rarely appearing pathology. The diagnosis of a randomly found aneurysm in a symptom free patient was confirmed by spiral AGCT. Classical surgical procedure was indicated for the patient. With a combined supra- infraclavicular approach the partial resection of the aneurysm and its revascularization by a ePTFE prosthetic interposition were performed. A histological investigation showed nonspecific changes in the aneurysm wall. Two years after the operation the patient is without any complications and with complete functional vascular reconstruction and optimal limb function.

锁骨下动脉动脉瘤。
在本病例报告中,作者报告了一名女性患者的左锁骨下动脉(SAA)的真实动脉瘤,作者想要介绍这种罕见的病理的症状,诊断和治疗的可能性。在无症状患者中随机发现动脉瘤的诊断被螺旋AGCT证实。对该患者进行了经典的外科手术。我们采用锁骨上-锁骨下联合入路切除部分动脉瘤并置入ePTFE假体进行血管重建术。组织学检查显示动脉瘤壁有非特异性改变。术后2年无并发症,血管功能重建完整,肢体功能良好。
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