Document Detail

Aneurysm of a branch of the subclavian artery with multiple arteriovenous fistulae.
MedLine Citation:
PMID:  8698779     Owner:  NLM     Status:  MEDLINE    
A rare case is reported of an 83-year-old woman with an aneurysm of a branch of the subclavian artery with multiple arteriovenous fistulae. The patient was admitted to our hospital with a pulsatile mass in the supraclavicular space and a prominent continuous murmur which radiated to the anterior chest, right forearm and right neck. She first noticed a pulsatile 2 cm mass in 1972, 1 year following a subtotal gastrectomy. At that time, she had intravenous therapy through a right neck vein. In 1993, the mass became larger, and she developed a shunt murmur. Digital subtraction angiography (DSA) demonstrated an aneurysm of the right subclavian artery and an arteriovenous fistula between the right subclavian artery and vein. The right common carotid artery and right subclavian artery arose from the aortic arch separately. The aneurysm arose from a branch of the subclavian artery which may be the costocervical trunk. The 5 x 4 cm aneurysm was resected and the arteriovenous fistula was divided. On postoperative day 5, a new murmur was ausculated. A repeat DSA detected a new fistula between the axillary artery and vein. Reoperation was performed to ligate and divide the fistula. Pathological examination revealed an atherosclerotic aneurysm.
J Egami; T Fujiki; K Sudo; T Koisizawa; M Mathison; J Kokubo; N Sasagawa; K Honda; H Ide; K Ikeda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  37     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-09-04     Completed Date:  1996-09-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  355-7     Citation Subset:  IM    
Department of Cardiovascular Surgery, Kyorin University, Tokyo, Japan.
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MeSH Terms
Aged, 80 and over
Aneurysm / complications*,  radiography,  surgery
Angiography, Digital Subtraction
Arteriovenous Fistula / complications*,  radiography,  surgery
Subclavian Artery* / radiography,  surgery
Subclavian Vein* / radiography,  surgery

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