Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Angiol. 2013 Mar;22(1):69-74. doi: 10.1055/s-0033-1333862.

Subclavian aneurysm presenting with massive hemoptysis: a case report and review of the literature.

Author information

1
Department of Vascular Surgery, Yale University School of Medicine, New Haven, Connecticut.
2
Department of Interventional Radiology, Yale University School of Medicine, New Haven, Connecticut.
3
Department of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Connecticut.

Abstract

We present a case of a 70-year-old male with a past medical history of coronary artery bypass grafting and end stage renal disease who presented with massive hemoptysis. He had a history of methicillin-resistant Staphylococcus aureus endocarditis, with infection and removal of endocardial pacing leads. His work-up revealed a 2.9-cm proximal left subclavian artery aneurysm. Bronchoscopy confirmed bright red blood in the left upper lobe bronchus and coronary angiography confirmed a patent left internal mammary artery (LIMA) to left anterior descending bypass. Because of the consideration of maintaining coronary perfusion via the LIMA while excluding the subclavian aneurysm, he underwent a left carotid to left axillary artery bypass graft followed by deployment of an Amplatzer II vascular plug just distal to the aneurysm. A thoracic endograft was then deployed to exclude the origin of the subclavian. A review of the literature reveals hemoptysis as a rare presentation of a subclavian aneurysm. We discuss approaches to this challenging clinical problem, ranging from open repair to hybrid approaches.

KEYWORDS:

aneurysm; endovascular repair; hemoptysis; hybrid; subclavian

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Support Center