1,010 results match your criteria Subclavian Artery Thrombosis


Frozen elephant trunk in acute type A aortic dissection: surgical techniques and the extracorporeal circuit management.

Indian J Thorac Cardiovasc Surg 2021 May 5;37(3):303-306. Epub 2020 Sep 5.

Institute of Cardiac and Aortic Disorders (ICAD), SRM Institutes for Medical Science (SIMS Hospital), Vadapalani, Chennai, 600 026 India.

Acute type A aortic dissection (ATAAD) is a challenging clinical condition with immediate and late complications. Frozen elephant trunk (FET) has been offered as a solution for it promises to address the late complications-false lumen thrombosis and aortic remodelling. Here, we describe the implantation of the FET in ATAAD with the surgical technique and extracorporeal circuit management. Read More

View Article and Full-Text PDF

Acute upper limb ischemia as a complication of tunneled hemodialysis catheter placement via the right internal jugular vein.

Authors:
Ahmet Can Topcu

J Vasc Access 2021 May 7:11297298211015041. Epub 2021 May 7.

Department of Cardiovascular Surgery, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.

Arterial injury during internal jugular vein cannulation can cause devastating complications such as stroke, hematoma, hemothorax, pseudoaneurysm, AV fistula, or even death. Acute upper limb ischemia caused by inadvertent arterial puncture during internal jugular vein cannulation has been rarely reported. The present report describes the case of a patient who experienced right upper limb ischemia caused by subclavian artery thrombosis developed during attempted placement of a tunneled hemodialysis catheter via the right internal jugular vein. Read More

View Article and Full-Text PDF

Nonoperative Management of Subclavian Artery Thrombosis in Pediatric Clavicle Fractures: A Case Report.

JBJS Case Connect 2021 04 9;11(2). Epub 2021 Apr 9.

Shriners Hospitals for Children-Chicago; Chicago, Illinois.

Case: A 12-year-old patient presented after a fall onto her upper extremity. She was found to have a mildly displaced clavicle fracture with a subclavian artery thrombosis. Given the reconstitution of flow distal to the thrombosis, the patient was treated nonoperatively in consultation with vascular surgery with anticoagulation and a sling for immobilization. Read More

View Article and Full-Text PDF

[Removal of ascending aortic dissection and residual blood flow after transcatheter isolation of descending aortic dissection].

Angiol Sosud Khir 2021 ;27(1):65-71

Scientific Research Laboratory of Surgery for Cardiac Defects and Ischaemic Heart Disease, National Medical Research Centre named after V.A. Almazov under the RF Ministry of Public Health, Saint Petersburg, Russia.

Presented herein is a clinical case report concerning successful simultaneous surgical treatment of a female patient with a complication after transcatheter treatment for chronic dissection of the descending portion of the thoracic aorta. The woman was subjected to elective transcatheter isolation of chronic dissection of the descending thoracic aorta using a stent graft with complete coverage of the zone of the origin of the left subclavian artery. Repeat control imaging studies several months after the intervention revealed residual blood flow through the false channel, directed retrogradely from the distal edge of the stent graft to the left subclavian artery. Read More

View Article and Full-Text PDF

Symptomatic arterial thrombosis associated with novel coronavirus disease 2019 (COVID-19): report of two cases.

Acta Chir Belg 2021 Jun 1:1-4. Epub 2021 Jun 1.

Department of Vascular Surgery, ZNA Middelheim, Antwerp, Belgium.

Since December 2019, the outbreak of the novel coronavirus disease (COVID-19) in China has rapidly spread throughout the world. During the course of the COVID-19 pandemic, thrombotic complications have emerged as an important issue. We present two cases of symptomatic arterial thrombosis in patients with confirmed COVID-19. Read More

View Article and Full-Text PDF

A rare presentation and management of thrombosis of an aberrant right subclavian artery related to thoracic outlet syndrome.

Vascular 2021 Apr 4:17085381211002735. Epub 2021 Apr 4.

Department of Surgery, Yale School of Medicine, Connecticut, New Haven, CT, USA.

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. Read More

View Article and Full-Text PDF

Erroneous Blood Pressure Interpretation Caused by Simultaneous Bilateral Subclavian Artery Thrombosis.

Am J Med Sci 2021 Jan 23. Epub 2021 Jan 23.

Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Electronic address:

View Article and Full-Text PDF
January 2021

A Systematic Review of Total Thoracic Endovascular Aortic Repair in Treatment of Kommerell Diverticulum Combined with Right-Sided Aortic Arch.

Med Sci Monit 2021 Mar 23;27:e930031. Epub 2021 Mar 23.

Department of Vascular Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China (mainland).

Kommerell diverticulum (KD) combined with right-sided aortic arch (RAA) and aberrant left subclavian artery (ALSA) are rare and limited to a few case reports and small series. Thoracic endovascular aortic repair (TEVAR), which is mini-invasive, is widely utilized in complicated aortic disease. We performed a systematic review of the literature to identify all patients who underwent endovascular repair for KD in terms of technical feasibility and procedural outcomes. Read More

View Article and Full-Text PDF

Intermittent right upper extremity ischemia in a patient with simultaneous aberrant right subclavian artery and patent foramen ovale: A case report.

Caspian J Intern Med 2021 ;12(1):115-118

3.Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

Background: Upper extremity intermittent ischemia due to non-aneurysmal, not occluded aberrant right subclavian artery (ARSA) is rare.

Case Presentation: We describe a 30-year-old male who suffered from PFO and non-aneurysmal, not occluded ARSA, and presented by intermittent right upper extremity ischemia. He was treated by right carotid subclavian transposition for ARSA and antiplatelet medication for PFO. Read More

View Article and Full-Text PDF
January 2021

Coexistence of an aberrant right subclavian artery and anomalous origins of bilateral vertebral arteries: A case report.

Medicine (Baltimore) 2021 Mar;100(9):e25043

Department of Urology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.

Rationale: Anatomical variations in aortic arch (AA) branching are not unusual. Generally, these variations are asymptomatic and are diagnosed incidentally. Here, we report a rare case of a middle-aged female patient with an aberrant right subclavian artery (ARSA) associated with anomalous origins of the bilateral vertebral arteries (VAs). Read More

View Article and Full-Text PDF

Undiagnosed bilateral complete cervical rib with subclavian artery aneurysm presenting as acute ischaemic limb following high-altitude expedition.

BMJ Case Rep 2021 Feb 26;14(2). Epub 2021 Feb 26.

General Surgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.

Arterial thoracic outlet syndrome is relatively rare and often exclusively seen in the presence of bony anomalies. High-altitude (HA) travel is commonly associated with thrombosis; however, arterial thromboembolism is less frequently described. We describe a case of a young man with undiagnosed bilateral cervical rib, who went for an HA trek, subsequent to which developed acute limb ischaemia of right arm. Read More

View Article and Full-Text PDF
February 2021

[Analysis of the short-term results of pre fenestration and external branched thoracic endovascular aortic repair for aortic lesions].

Zhonghua Yi Xue Za Zhi 2021 Feb;101(6):405-409

Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin 300052, China.

To evaluate the short-term effect of left subclavian artery (LSA) reconstruction with pre fenestration and external branch thoracic endovascular aortic repair (TEVAR) in the treatment of aortic arch descending lesions. The clinical data of 79 patients with aortic diseases who received LSA reconstruction in Tianjin Medical University General Hospital from November 2015 to October 2019 were analyzed retrospectively. According to different LSA reconstruction methods, they were divided into the fenestrated group (group f) 50 cases and the external branched group (group b) 29 cases. Read More

View Article and Full-Text PDF
February 2021

Left Main Equivalent Myocardial Infarction due to Acute Subclavian Artery Thrombosis in a Patient with Prior Coronary Bypass.

J Cardiovasc Imaging 2021 Feb 2. Epub 2021 Feb 2.

Cardiology Department, Centro Hospitalar de Setúbal, Setúbal, Portugal.

View Article and Full-Text PDF
February 2021

When a Peripartum Cardiomyopathy Patient Hides Various and Serious Risk Factors for Recurrent and Fatal Thromboembolic Events Even Under Well-Conducted Oral Anticoagulation.

Cureus 2020 Dec 31;12(12):e12392. Epub 2020 Dec 31.

Cardiology, Mohammed I University/Mohammed VI University Hospital, Oujda, MAR.

Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure that occurs during the final month of pregnancy through about five months after delivery, without any other known cause, and it increases the risk of thromboembolic events by many folds. A 38-year-old female with a history of peripartum dilated cardiomyopathy was admitted to our hospital, one month after a cesarean section, for severe breathlessness. Examination revealed signs of global heart failure and right deep vein thrombosis. Read More

View Article and Full-Text PDF
December 2020

A 10-Year Aortic Center Experience with Hybrid Repair of Chronic "Residual" Aortic Dissection After Type A Repair.

Cardiovasc Drugs Ther 2021 Feb 2. Epub 2021 Feb 2.

Department of Vascular Surgery, Timone Hospital, APHM, 13005, Marseille, France.

Purpose: Hybrid aortic arch repair in patients with chronic residual aortic dissection (RAD) is a less invasive alternative to conventional surgical treatment. The aim of this study was to describe the short-term and long-term results of hybrid treatment for RAD after type A repair.

Methods: In this retrospective single-center cohort study, all patients treated for chronic RAD with hybrid aortic arch repair were included. Read More

View Article and Full-Text PDF
February 2021

Early total care in polytrauma patient with floating shoulder and occlusion of bilateral subclavian artery: A case report.

Int J Surg Case Rep 2021 Feb 15;79:312-317. Epub 2021 Jan 15.

Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia. Electronic address:

Introduction: Fracture in polytrauma patients have higher risk of morbidity and mortality compared to those found in monotrauma patients. The ideal approach of orthopaedic injuries is to perform definitive fixation of all fractures in one single procedure, an approach known as Early Total Care (ETC).

Presentation Of Case: A patient presented with history of being struck by heavy material forklift. Read More

View Article and Full-Text PDF
February 2021

An Interesting Case of a Cold Left Arm.

Cureus 2020 Nov 17;12(11):e11524. Epub 2020 Nov 17.

Internal Medicine, Louis Stokes Cleveland VA Medical Center/Case Western Reserve University School of Medicine, Cleveland, USA.

Inter-arm variability in blood pressure readings typically signifies arterial disease between the aortic arch and the subclavian artery. The differential diagnosis includes thoracic aortic dissection, atherosclerosis, thoracic outlet syndrome, and subclavian artery stenosis and thrombosis. In patients with prior coronary artery bypass grafting, including the internal mammary artery, several of those conditions can compromise coronary blood flow and lead to myocardial ischemia. Read More

View Article and Full-Text PDF
November 2020

Superior vena caval obstruction: a rare presentation of Behcet's disease.

BMJ Case Rep 2020 Dec 17;13(12). Epub 2020 Dec 17.

Radiology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

A 25-year-old Indian man presented with low-grade fever followed by gradually increasing swelling of neck and face. Physical examination showed bilateral neck swelling, facial swelling and dilated veins in the upper chest. Superior vena cava (SVC) obstruction due to an underlying malignancy was suspected. Read More

View Article and Full-Text PDF
December 2020

In vivo comparison of braided (Accero) and laser-cut intracranial stents (Acclino, Credo): evaluation of vessel responses at subacute and mid-term follow-up in a rabbit model.

J Mater Sci Mater Med 2020 Dec 3;31(12):131. Epub 2020 Dec 3.

Institute for Biomedical Engineering, University of Stuttgart, Stuttgart, Germany.

This study aimed to investigate in vivo two stent technologies, with particular emphasis on thrombogenicity and inflammatory vessel remodeling processes. The micro-stents tested in this study were developed for intracranial aneurysm treatment. In our study twelve, New Zealand white rabbits were divided into two groups: 18 laser-cut stents (LCS) and 18 braided stents (BS) were impanated without admiration of antiplatelet medication. Read More

View Article and Full-Text PDF
December 2020

[Not Another Arm Vein Thrombosis - Memories of the Past].

Praxis (Bern 1994) 2020 Nov;109(15):1205-1209

Gefässchirurgie, Universitäres Zentrum Aarau-Basel, Aarau.

Not Another Arm Vein Thrombosis - Memories of the Past This article points out relevant differential diagnoses of a unilateral arm swelling that is a key clinical sign of an upper extremity vein thrombosis. The presented case is a patient with a symptomatic, iatrogenic arteriovenous fistula between the subclavian artery and vein due to central venous port system implantation. Read More

View Article and Full-Text PDF
November 2020

Focal Liver 18F-FDG Uptake in a Patient Who Underwent Thrombolysis for Brachiocephalic and Subclavian Thrombosis: A Potential Pitfall.

Clin Nucl Med 2021 Mar;46(3):e173-e175

From the Département de médecine nucléaire et radiobiologie.

Abstract: A 19-year-old woman presented with a primary mediastinal B-cell lymphoma invading the superior vena cava with associated thrombosis of the left brachiocephalic and subclavian vein. She underwent thrombolysis followed by chemotherapy. The midtreatment 18F-FDG PET/CT demonstrated important regression of the primary mediastinal B-cell lymphoma, but showed intense focal hepatic uptake in segment IV, without a corresponding lesion on ultrasonography, non-contrast-enhanced low-dose CT, and MRI. Read More

View Article and Full-Text PDF

Acute thrombotic occlusion of subclavian artery presenting as a stroke mimic.

J Am Coll Emerg Physicians Open 2020 Oct 14;1(5):932-934. Epub 2020 May 14.

Department of Emergency Medicine Max Super Specialty Hospital Patparganj New Delhi India.

It has been well established and widely accepted that thrombolysis using recombinant tissue plasminogen activator (rTPA) is strongly beneficial for acute stroke patients. The sensitivity of brain tissue to ischemia causes this time dependence of the effectiveness of rTPA. Early recognition and management of a stroke is imperative for positive outcomes in such patients. Read More

View Article and Full-Text PDF
October 2020

Vertebral Artery Stump Syndrome Due to Chronic Complicated Aortic Dissection.

World Neurosurg 2021 01 2;145:295-297. Epub 2020 Oct 2.

Department of Neurosurgery, University of California San Diego, La Jolla, California.

Background: Vertebral artery (VA) stump syndrome arises when thrombi of an occluded proximal VA propagate to the brain and cause posterior circulation strokes. This phenomenon has been described in limited reports to date.

Case Description: A 39-year-old man with a remote history of endovascular repair of a type B aortic dissection experienced type Ia endoleak causing expansion of the false lumen associated with the dissection. Read More

View Article and Full-Text PDF
January 2021

Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis.

Can J Cardiol 2020 10 11;36(10):1690.e13-1690.e15. Epub 2020 Apr 11.

Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Read More

View Article and Full-Text PDF
October 2020

Ischemic Stroke Caused by Carotid Stump at the Common Carotid Artery.

Intern Med 2020 Dec 28;59(23):3071-3074. Epub 2020 Jul 28.

Division of Cerebrovascular Medicine and Neurology, Clinical Research Institute, National Hospitalization Organization, Kyushu Medical Center, Japan.

An 84-year-old man developed motor aphasia and right hemiparesis on postoperative day 1 after orchiectomy for suspected malignant lymphoma. He had a history of thoracic endovascular aortic repair for aortic aneurysm using a bypass graft from the right subclavian artery to the left common carotid artery (CCA); however, the graft had become occluded six months later. Brain magnetic resonance imaging revealed acute cerebral infarctions in the left frontal lobe. Read More

View Article and Full-Text PDF
December 2020

Fatal vascular complications during transradial percutaneous coronary intervention: A case report.

Medicine (Baltimore) 2020 Jul;99(28):e21205

Department of Thoracic surgery, Hanyang University Hanmaeum Changwon Hospital, Changwon-si, Korea.

Rationale: Vascular complications of transradial percutaneous coronary intervention (PCI) are rare and usually occur at the access site below the elbow. However, vessels along the tract of the wire or catheter can be injured at any point, causing various types of bleeding complications.

Patient Concerns: A 57-year-old man visited due to chest discomfort. Read More

View Article and Full-Text PDF

Kommerell diverticulum - egy ritka betegség ritka szövődményei.

Magy Seb 2020 Jun;73(2):61-68

Szív-, Ér-, és Mellkassebészeti Osztály,HM Egészségügyi Központ Budapest.

Incidence of anomalies of the aortic arch is estimated 1-2 per cent in newborn babies. Lusory artery may arise either from left sided aortic arch in 0.7-2 per cent, or from right sided aortic arch in 0. Read More

View Article and Full-Text PDF

Ultrasound-guided double central venous access for azygos vein via the ninth and tenth intercostal veins.

J Vasc Access 2021 Mar 30;22(2):304-309. Epub 2020 Jun 30.

Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Higashi-ku, Fukuoka, Japan.

Some patients with intestinal failure, who are dependent on total parenteral nutrition for long periods, suffer from a lack of suitable conventional venous access points, including axillary, external jugular, internal jugular, subclavian, saphenous, and the brachio-cephalic and femoral veins, due to their occlusion. Furthermore, extensive central venous stenosis and/or thrombosis of the superior and inferior vena cava may preclude further catheterization, so uncommon routes must be used, which can be challenging. In such patients, the azygos vein via the intercostal vein is a viable candidate. Read More

View Article and Full-Text PDF

[Optimal method of reconstruction in patients with pathology of the 1st segment of the subclavian artery].

Angiol Sosud Khir 2020 ;26(2):133-139

Clinic and Chair of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

The study enrolled a total of 318 patients presenting with lesions of the 1st segment of the subclavian artery and the clinical course of vertebrobasilar insufficiency. All patients prior to admission had been receiving the best course of medicamentous therapy under the supervision of a neurologist for more than 6 months but with no significant clinical improvement. According to the type of the reconstructive operation on the 1st segment of the subclavian artery, all patients were subdivided into three groups. Read More

View Article and Full-Text PDF
September 2020

May-Thurner and Paget-Schroetter Syndromes: A Review.

Authors:
Zia Ur Rehman

Ann Vasc Dis 2020 Jun;13(2):132-136

Section of Vascular Surgery, The Aga Khan University Hospital, Karachi, Pakistan.

May-Thurner and Paget-Schroetter syndromes are rare conditions encountered by vascular surgeons. An updated knowledge about these conditions is crucial for the effective management of patients with these syndromes who are mostly young. May-Thurner syndrome (MTS) is caused by the compression of the left common iliac vein by the right common iliac artery, and it is a risk factor for left leg deep venous thrombosis (DVT). Read More

View Article and Full-Text PDF