ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Henry J. Fee
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fee, H. J.
Right arrow Articles by Grollman, J. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fee, H. J.
Right arrow Articles by Grollman, J. H.

Ann Thorac Surg 1978;26:387-390
© 1978 The Society of Thoracic Surgeons

Articles

Bilateral Subclavian Artery Aneurysm Associated with Idiopathic Cystic Medial Necrosis

Henry J. Fee, M.D., Harold S. Gewirtz, M.D., Theodore X. O'Connell, M.D.*, Jules H. Grollman, M.D.

Departments of Surgery and Radiology, UCLA School of Medicine, Los Angeles, CA.

Accepted for publication January 20, 1978.

* Address reprint requests to Dr. O'Connell, Division of Oncology, Department of Surgery, UCLA School of Medicine, Los Angeles, CA 90024.

Although cystic medial necrosis, either idiopathic or associated with Marian's syndrome, usually becomes manifest as an ascending aortic aneurysm, aortic insufficiency, aortic dissection, or a combination of these disorders, a rare case of bilateral subclavian artery aneurysm secondary to idiopathic cystic medial necrosis has occurred. Subclavian artery aneurysms most commonly represent poststenotic dilatation from anterior scalene or cervical rib compression, occasionally are associated with generalized arteriosclerotic peripheral vascular disease, and rarely are secondary to syphilitic or mycotic infections.

Subclavian artery aneurysms have a major risk of rupture, embolus, or thrombosis, and therefore should be repaired. A reverse saphenous vein or prosthetic bypass graft from the carotid to the axillary artery provides adequate flow to the upper extremity. The aneurysm should be completely excised if possible, since reexpansion through small collaterals or through insufficient closure by ligation can occur and compress the brachial plexus after successful bypass. The clinical presentation, angiographic findings, and operative repair of a subclavian artery aneurysm secondary to cystic medial necrosis are described.




This article has been cited by other articles:


Home page
 PERSPECT VASC SURG ENDOVASC THERHome page
P. A. Hartsell, K. D. Calligaro, and M. J. Dougherty
Clinical Manifestations and Management of Subclavian Artery Aneurysms
Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1999; 10(1): 69 - 80.
[Abstract] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
W. Quinones, V. E. Reuter, and S. N. Smullens
Spontaneous Dissecting Subclavian Aneurysm A Case Report
Vascular and Endovascular Surgery, May 1, 1983; 17(3): 176 - 182.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. A. Elefteriades, H. A. Kay, H. C. Stansel Jr., and A. S. Geha
Extraanatoinical Reconstruction for Bilateral Intrathoracic Subclavian Artery Aneurysms
Ann. Thorac. Surg., February 1, 1983; 35(2): 188 - 191.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
C. R. Fikar, J. A. Amrhein, J. P. Harris, and E. R. Lewis
Dissecting Aortic Aneurysm in Childhood and Adolescence: Case Report and Literature Review
Clinical Pediatrics, September 1, 1981; 20(9): 578 - 583.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1978 by The Society of Thoracic Surgeons.