Case Reports Journal Article Epublish
PubMed: 42318255 DOI: 10.1016/j.jvscit.2026.102319
Hybrid zone 1 repair of a giant post-traumatic intrathoracic left subclavian artery pseudoaneurysm.
J Vasc Surg Cases Innov Tech 12(4):102319
Authors: Erasmia El Kanty, Natasha Hasemaki, Antonia Skotsimara, Michail Tsotsios, Ilias Avgerinos, Athanasios Katsargyris, Chris Klonaris
Affiliations
- 2nd Vascular Surgery Department, National and Kapodistrian University of Athens, Laikon General Hospital of Athens, Athens, Greece.
- Department of Vascular Surgery, University Hospital LMU Munich, Munich, Germany.
Abstract
Subclavian artery pseudoaneurysms are rare and may present decades after blunt trauma. We report the case of a 38-year-old man presenting 22 years after clavicular fracture with a giant intrathoracic pseudoaneurysm of the proximal left subclavian artery, with the vertebral artery arising immediately distal to the lesion. Due to the limited proximal landing zone and short carotid-subclavian distance, a one-stage hybrid repair was performed, consisting of carotid-carotid-subclavian bypass and zone 1 thoracic endovascular aortic repair. The procedure achieved complete exclusion with preserved cerebral and upper limb perfusion. At 5 years, the patient remains asymptomatic without endoleak or graft-related complications.
MeSH
Subclavian Artery, Arteries, Aneurysm, False