RESUMEN
Aneurysms of the internal thoracic artery (ITA) are rare and can have many etiologies. Hyperflow is an exceptional etiology. We report the case of a 56-year-old woman who presented with a stress-induced ischemia of the left arm. Computed tomography angiography showed occlusion of the subclavian artery and a true aneurysm of the ITA. The ITA aneurysm was resected without restoration of the ITA continuity and a carotid-subclavian bypass was performed. Pathological examination of the aneurysm sac was not specific.
Asunto(s)
Aneurisma , Arterias Mamarias , Síndrome del Robo de la Subclavia , Aneurisma/diagnóstico , Aneurisma/etiología , Aneurisma/fisiopatología , Aneurisma/cirugía , Hemodinámica , Humanos , Masculino , Arterias Mamarias/diagnóstico por imagen , Arterias Mamarias/fisiopatología , Arterias Mamarias/cirugía , Persona de Mediana Edad , Flujo Sanguíneo Regional , Factores de Riesgo , Síndrome del Robo de la Subclavia/diagnóstico , Síndrome del Robo de la Subclavia/etiología , Síndrome del Robo de la Subclavia/fisiopatología , Síndrome del Robo de la Subclavia/cirugía , Síndrome del Desfiladero Torácico/complicaciones , Síndrome del Desfiladero Torácico/diagnóstico , Tomografía Computarizada por Rayos X , Resultado del TratamientoAsunto(s)
Aneurisma/etiología , Enfermedades de las Arterias Carótidas/etiología , Arteria Carótida Interna , Síndrome de Marfan/complicaciones , Adulto , Aneurisma/diagnóstico por imagen , Aneurisma/cirugía , Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Enfermedades de las Arterias Carótidas/cirugía , Arteria Carótida Interna/diagnóstico por imagen , Arteria Carótida Interna/cirugía , Femenino , Humanos , Tomografía Computarizada por Rayos XRESUMEN
Aneurysms of the intra-thoracic subclavian artery (SCA) are rare. They are often revealed by complications. Surgical treatment is always indicated. Endovascular treatment is a less invasive alternative. We report a case of a 60 years-old woman admitted for right chest pain and dysphonia. Laryngoscopy noted a right vocal cord palsy. Chest computed tomography and angiography showed a giant aneurysm of the intra-thoracic right SCA. A resection-ligation of the aneurysm was performed by a supra-clavicular approach. Postoperative course was uneventful. The histology defined an atherosclerotic aneurysm. The patient underwent voice reeducation with partial improvement after six months.
Asunto(s)
Aneurisma/complicaciones , Disfonía/etiología , Arteria Subclavia/patología , Parálisis de los Pliegues Vocales/etiología , Anciano , Aneurisma/diagnóstico , Aneurisma/diagnóstico por imagen , Aneurisma/cirugía , Disfonía/rehabilitación , Femenino , Humanos , Laringoscopía , Radiografía , Arteria Subclavia/diagnóstico por imagen , Arteria Subclavia/cirugía , Trombectomía , Trombosis/etiología , Trombosis/cirugía , Parálisis de los Pliegues Vocales/cirugíaRESUMEN
INTRODUCTION: Aneurysms of the hepatic artery are relatively rare. Diagnosis often occurs only after rupture, and mortality is substantial. We report two new cases. CASES: The first patient was a 70-year-old woman whose asymptomatic aneurysm of the common hepatic artery was identified during ultrasound for vomiting and abdominal pain. Open aneurysm repair and a hepatosplenic bypass led to a favorable outcome. The second patient was a 54-year-old man; his right hepatic artery aneurysm was diagnosed after it ruptured in the gall bladder. DISCUSSION: We review the literature about hepatic artery aneurysms and discuss the clinical features and methods for diagnosis and treatment of these uncommon lesions.
Asunto(s)
Aneurisma/diagnóstico , Arteria Hepática , Dolor Abdominal/etiología , Anciano , Aneurisma/cirugía , Aneurisma Roto/diagnóstico , Aneurisma Roto/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Vómitos/etiologíaRESUMEN
Extracranial carotid aneurysm due to Behçet disease is extremely rare. To our knowledge, this complication has been previously reported in only 12 cases. We report two new cases of extracranial carotid aneurysm in Behçet disease and discuss the clinical features, therapeutic modalities, and postoperative complications of these uncommon lesions.