Zardi Enrico M, Bucci Federico, Zardi Domenico M, Capoano Raffaele, Salvatori Filippo Maria, Tromba Luciana, Amoroso Antonio
Campus Bio-Medico University, Clinical Medicine, Via Àlvaro del Portillo, 200, Rome, 00128, Italy.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.09.2008.0869. Epub 2009 Feb 27.
A 45-year-old woman was referred to our department having suddenly developed, 9 months earlier, a pulsating mass on the right supraclavicular fossa and torticollis. Colour Doppler sonography and computed tomographic angiography showed the presence of an aneurysm (21 mm in diameter) of the suprascapular artery that had an anomalous origin from the subclavian artery. Thoracic outlet syndrome was excluded. After selective arteriography, the aneurysm of the suprascapular artery was successfully treated with ethylene-vinyl alcohol polymer (Onyx, MicroTherapeutics, Irvine, California, USA), a liquid embolic agent. The patient was discharged on the first postoperative day in good condition. Control colour Doppler sonography at 1 year confirmed the complete thrombosis of the aneurysm sac.
一名45岁女性于9个月前突然出现右锁骨上窝搏动性肿块和斜颈,随后被转诊至我科。彩色多普勒超声和计算机断层血管造影显示肩胛上动脉存在动脉瘤(直径21mm),该动脉起源异常,起自锁骨下动脉。已排除胸廓出口综合征。选择性动脉造影后,使用液体栓塞剂乙烯-乙烯醇聚合物(Onyx,美国加利福尼亚州欧文市MicroTherapeutics公司生产)成功治疗了肩胛上动脉瘤。患者术后第一天状况良好出院。术后1年的彩色多普勒超声检查证实动脉瘤囊完全血栓形成。