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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


Checked for plagiarism Yes

Review by Single anonymous peer review

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

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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