Subclavian Arterial Aneurysm with Cerebral Embolic Stroke and Arm Embolism

A 47-year-old man visited his local hospital complaining of numbness in his left arm. Computed tomography revealed a left subclavian artery aneurysm for which he was referred to our hospital for surgery. However, because of arterial embolism of the left upper extremity and retrograde cerebral thromb...

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Bibliographic Details
Published inJapanese Journal of Vascular Surgery Vol. 22; no. 1; pp. 69 - 72
Main Authors Hanada, Tomoki, Yokoyama, Masao, Shimizu, Koji, Kanetsuki, Kazuma, Imai, Kensuke, Oda, Teiji
Format Journal Article
LanguageJapanese
Published JAPANESE SOCIETY FOR VASCULAR SURGERY 25.02.2013
Subjects
cerebral embolic stroke
subclavian arterial aneurysm
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Summary:A 47-year-old man visited his local hospital complaining of numbness in his left arm. Computed tomography revealed a left subclavian artery aneurysm for which he was referred to our hospital for surgery. However, because of arterial embolism of the left upper extremity and retrograde cerebral thrombosis arising from a mural thrombus of the aneurysm developed preoperatively and surgery was performed by supraclavicular and infraclavicular incisions. The aneurysm was excluded and the left subclavian artery was reconstructed with an artificial graft. Aggressive surgical management is necessary for subclavian artery aneurysms, because they may be complicated with not only arterial embolisms of the arm but also cerebral infarction.
ISSN:0918-6778
1881-767X
DOI:10.11401/jsvs.22.69