Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy

Surgical repair of a subclavian artery mycotic aneurysm is dependent on aneurysm-specific characteristics and anatomic exposures could require sternotomy, thoracotomy, or supraclavicular incisions. Alternatively, a median claviculectomy can be used. We successfully performed a subclavian artery to a...

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Main Authors: Ahmad Tabatabaeishoorijeh, BS, Paul Haddad, MD, Yusuf Chauhan, MD, Marvin D. Atkins, MD, Maham Rahimi, MD, PhD
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723002836
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author Ahmad Tabatabaeishoorijeh, BS
Paul Haddad, MD
Yusuf Chauhan, MD
Marvin D. Atkins, MD
Maham Rahimi, MD, PhD
author_facet Ahmad Tabatabaeishoorijeh, BS
Paul Haddad, MD
Yusuf Chauhan, MD
Marvin D. Atkins, MD
Maham Rahimi, MD, PhD
author_sort Ahmad Tabatabaeishoorijeh, BS
collection DOAJ
description Surgical repair of a subclavian artery mycotic aneurysm is dependent on aneurysm-specific characteristics and anatomic exposures could require sternotomy, thoracotomy, or supraclavicular incisions. Alternatively, a median claviculectomy can be used. We successfully performed a subclavian artery to axillary artery bypass with median claviculectomy in a 23-year-old man with multiple comorbidities. Postoperative Doppler ultrasound showed a patent left axillary artery with a palpable left radial artery, and the patient demonstrated full left shoulder range of motion without any significant deformities. This case suggests that a median claviculectomy can produce satisfactory outcomes in patients with subclavian artery mycotic aneurysms.
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spelling doaj.art-92bb15d12c3c46929a2c9fd828957f312024-01-26T05:34:17ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-02-01101101374Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomyAhmad Tabatabaeishoorijeh, BS0Paul Haddad, MD1Yusuf Chauhan, MD2Marvin D. Atkins, MD3Maham Rahimi, MD, PhD4School of Engineering Medicine, Texas A&M University, Houston, TX; School of Medicine, Texas A&M University, Bryan, TX; College of Engineering, Texas A&M University, Bryan, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX; Correspondence: Maham Rahimi, MD, PhD, Department of Cardiovascular Surgery, Houston Methodist Hospital, 6550 Fannin St, Houston, TX 77030Surgical repair of a subclavian artery mycotic aneurysm is dependent on aneurysm-specific characteristics and anatomic exposures could require sternotomy, thoracotomy, or supraclavicular incisions. Alternatively, a median claviculectomy can be used. We successfully performed a subclavian artery to axillary artery bypass with median claviculectomy in a 23-year-old man with multiple comorbidities. Postoperative Doppler ultrasound showed a patent left axillary artery with a palpable left radial artery, and the patient demonstrated full left shoulder range of motion without any significant deformities. This case suggests that a median claviculectomy can produce satisfactory outcomes in patients with subclavian artery mycotic aneurysms.http://www.sciencedirect.com/science/article/pii/S2468428723002836AneurysmClaviculectomyGreat saphenous vein graftIntravenous drug abuseMycoticSubclavian artery aneurysm
spellingShingle Ahmad Tabatabaeishoorijeh, BS
Paul Haddad, MD
Yusuf Chauhan, MD
Marvin D. Atkins, MD
Maham Rahimi, MD, PhD
Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
Journal of Vascular Surgery Cases and Innovative Techniques
Aneurysm
Claviculectomy
Great saphenous vein graft
Intravenous drug abuse
Mycotic
Subclavian artery aneurysm
title Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
title_full Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
title_fullStr Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
title_full_unstemmed Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
title_short Open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
title_sort open repair of a proximal left subclavian artery mycotic aneurysm with median claviculectomy
topic Aneurysm
Claviculectomy
Great saphenous vein graft
Intravenous drug abuse
Mycotic
Subclavian artery aneurysm
url http://www.sciencedirect.com/science/article/pii/S2468428723002836
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