锁骨骨折所致锁骨下动脉动脉瘤
Subclavian artery aneurysm due to clavicle fracture.
作者信息
Tachtsi Maria D, Pitoulias George A, Fycatas Petros, Kalogirou Thomas, Papadimitriou Dimitrios K
机构信息
Division of Vascular Surgery, Second Department of Surgery, School of Medicine, Aristotle University of Thessaloniki, G. Gennimatas Hospital, Thessaloniki, Greece.
出版信息
Ann Vasc Surg. 2011 Oct;25(7):984.e5-7. doi: 10.1016/j.avsg.2011.04.005. Epub 2011 Aug 10.
BACKGROUND
Aneurysms of the subclavian artery (SA) are rare, but they can present with devastating consequences that may lead to loss of the limb. We present a case of symptomatic posttraumatic aneurysm of the left SA in a 67-year-old woman.
METHODS
A 67-year-old woman presented to our vascular unit with a history of sudden pain in her left hand, forearm, and shoulder, together with vasomotor changes. A chest radiograph revealed a fracture of the left clavicle because of a car accident that took place 17 years ago, and the digital subtraction angiography revealed presence of an aneurysm of the left SA right below the fracture of the clavicle. Surgical treatment of the aneurysm included excision and ligation of the SA which gave excellent results.
CONCLUSION
Thus, an individually tailored treatment is mandatory for the very rare pathology of SA aneurysms.
背景
锁骨下动脉（SA）动脉瘤罕见，但可导致严重后果，甚至可能导致肢体丧失。我们报告一例67岁女性左锁骨下动脉创伤后有症状性动脉瘤的病例。
方法
一名67岁女性因左手、前臂和肩部突发疼痛及血管舒缩改变就诊于我们的血管科。胸部X线片显示因17年前车祸导致的左锁骨骨折，数字减影血管造影显示在锁骨骨折下方存在左锁骨下动脉瘤。动脉瘤的手术治疗包括锁骨下动脉切除和结扎，效果良好。
结论
因此，对于非常罕见的锁骨下动脉瘤病理情况，必须进行个体化的治疗。
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