Francis Deepa, Kumar Mahendra, Singh Mansi, Okafor Toochukwu Lilian, Reddy Murali Mohan Rama Krishna, Inban Pugazhendi, Singh Prabhparmeet, Sirekulam Vaishnavi, Akuma Ogbonnaya, Akuma Chinaza Mercy, Thakkar Keval
Windsor University School of Medicine - St Kitts and Nevis, Saint Mary Cayon Parish, Saint Kitts and Nevis.
Rajasthan University of Health Sciences, Jaipur, Rajasthan, India.
Radiol Case Rep. 2023 Sep 5;18(11):4066-4070. doi: 10.1016/j.radcr.2023.08.062. eCollection 2023 Nov.
We present a case report of a 20-year-old male who suffered a stab injury to the left supraclavicular region, resulting in the formation of a pseudoaneurysm of the left subclavian artery. Initial endovascular management with a self-expandable covered stent graft showed promising results, but recurrence with proximal and distal end leaks necessitated further intervention. The patient's financial constraints delayed subsequent treatment, leading to worsening symptoms, including left upper limb paraparesis. Facing technical challenges due to the large size of the aneurysm and proximity to the vertebral artery, a vertebral artery confluence was performed, followed by a longer stent-graft placement to address the pseudoaneurysm successfully. This case highlights the potential advantages of endovascular approaches in complex subclavian artery injuries and emphasizes the importance of timely intervention to avoid complications and improve patient outcomes.
我们报告一例20岁男性病例，其左锁骨上区域遭受刺伤，导致左锁骨下动脉假性动脉瘤形成。最初使用自膨式覆膜支架移植物进行血管内治疗显示出良好效果，但近端和远端漏血导致复发，需要进一步干预。患者的经济限制延误了后续治疗，导致症状恶化，包括左上肢轻瘫。由于动脉瘤尺寸较大且靠近椎动脉，面临技术挑战，遂进行了椎动脉汇合术，随后放置更长的支架移植物以成功处理假性动脉瘤。该病例突出了血管内治疗方法在复杂锁骨下动脉损伤中的潜在优势，并强调了及时干预以避免并发症和改善患者预后的重要性。
