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Endovascular repair of a life-threatening radiation-induced ruptured false aneurysm of the intrathoracic left subclavian artery: case report

Authors Hizette P, Horn D, Lemaitre J, Segers B

Received 18 October 2014

Accepted for publication 12 January 2015

Published 31 March 2015 Volume 2015:11 Pages 219—222

DOI https://doi.org/10.2147/VHRM.S76012

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Daniel Duprez


Pascale Hizette, David Horn, Jean Lemaitre, Bernard Segers

Department of Vascular and Thoracic Surgery, St Pierre University Hospital, Brussels, Belgium

Abstract:
Massive hemorrhage in tracheostomy patients is generally described as a result of a tracheoinnominate artery fistula. Other etiologies for rupture of a false aneurysm are rare. The classical procedure for subclavian artery aneurysm is open surgery. Endovascular techniques have been accepted by several authors as a possible minimally invasive alternative. We report a life-threatening radiation-induced ruptured false aneurysm of the intrathoracic subclavian artery successfully treated by endovascular stent graft through left brachial access in a tracheostomy patient.

Keywords: tracheostomy hemorrhage, radiation-induced aneurysm, subclavian artery, ruptured aneurysm, endovascular repair

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