A rare presentation and management of thrombosis of an aberrant right subclavian artery related to thoracic outlet syndrome.
Vascular
; 30(2): 225-228, 2022 Apr.
Article
en En
| MEDLINE
| ID: mdl-33813970
ABSTRACT
OBJECTIVES:
We present a case in which a 44-year-old female smoker with a complex medical and surgical history presented with acute upper limb ischemia.METHODS:
The patient was diagnosed with thoracic outlet syndrome causing symptomatic thrombosis of an aberrant right subclavian artery associated with diverticulum of Kommerell. The patient had history of extensive surgeries and radiation in the right chest with fibrotic changes, so surgical dissection in the area was associated with significant risk of nerve injury. Therefore, revascularization of the arm was performed via carotid to brachial artery bypass with reversed saphenous vein and the thoracic outlet was decompressed with segmental clavicular resection.RESULTS:
Patient has been symptom free for 3 years with patent bypass.CONCLUSIONS:
This case demonstrates a unique presentation of distal thrombosis of a symptomatic aberrant right subclavian artery related to thoracic outlet syndrome. The combined claviculectomy-vein bypass is a safe and efficacious surgical approach that provides durable relief.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Síndrome del Desfiladero Torácico
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Trombosis
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Anomalías Cardiovasculares
Tipo de estudio:
Etiology_studies
Límite:
Adult
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Female
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Humans
Idioma:
En
Año:
2022
Tipo del documento:
Article