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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 1998 August;39(4):429-32

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Subclavian artery aneurysms. A report of 2 cases and a review of literature

Witz M., Yahel J., Lehmann J. M.

From The Unit of Vascular Surgery, Meir General Hospital, Kfar Saba and Tel-Aviv University Sackler School of Medicine, Tel-Aviv, Israel


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True aneu­rysm of ­the sub­cla­vian ­artery is extreme­ly ­rare ­and ath­ero­scler­o­sis is ­the ­most com­mon ­cause. Syphilis, tuber­cu­lo­sis, ­and cys­tic medi­al necro­sis ­are ­less ­often ­the ­cause. Their ­exact prev­a­lence in ­the gen­er­al pop­u­la­tion is ­unknown. These aneu­rysms ­can rup­ture, throm­bose, embol­ize or ­cause symp­toms by ­local com­pres­sion. In review­ing ­the lit­er­a­ture ­the ­great laten­cy of ­the dis­ease, ­high com­pli­ca­tion ­rate at pres­en­ta­tion ­and ­the sig­nif­i­cant inci­dence, con­com­i­nant aneu­rysms else­where ­are empha­sized. Duplex scan­ning fol­lowed by angio­gra­phy ­should be per­formed in ­order to estab­lish ­the diag­no­sis ­and to ­plan ­the oper­a­tion. Elective sur­gi­cal treat­ment is asso­ciat­ed ­with lit­tle ­risk to ­the ­patient ­and ­avoids ­the ­need ­for emer­gency oper­a­tions. Two cas­es of sur­gi­cal­ly treat­ed ­true sub­cla­vian aneu­rysms ­are pre­sent­ed ­with ­review of ­the English lan­guage lit­er­a­ture on ­the sub­ject.

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