Document Detail

False aneurysm after balloon dilation of a calcified innominate artery stenosis.
MedLine Citation:
PMID:  14533958     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the occurrence of a false aneurysm after percutaneous transluminal angioplasty of a severely calcified, high-grade stenosis of the brachiocephalic trunk. CASE REPORT: A 68-year-old patient was admitted with cerebrovascular insufficiency, right upper extremity ischemia, and recurrent amaurosis fugax. Magnetic resonance arteriography (MRA) and duplex ultrasound revealed a severely calcified, high-grade stenosis of the innominate artery. Balloon dilation of this lesion was performed with minimal morphological success. After dilation, the patient suffered a reversible ischemic neurological deficit, from which he recovered completely. The patient's symptoms improved, but after 3 weeks he was re-admitted with palsy of the recurrent laryngeal nerve. An MRA showed a false aneurysm at the dilation site. Open surgery was performed, and the patient received a bifurcated aorto-subclavian-carotid bypass graft. He was discharged free of his preoperative symptoms. CONCLUSIONS: This case illustrates the potential hazards of angioplasty of severely calcified stenoses of the supra-aortic vessels.
Johannes Walter; Wolfgang J Hofmann; Ara Ugurluoglu; Heinrich Magometschnigg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  10     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-10-09     Completed Date:  2004-03-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  825-8     Citation Subset:  IM    
Department of Vascular Surgery, St John's Hospital, Salzburg, Austria.
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MeSH Terms
Aneurysm, False / etiology*
Arteriosclerosis / complications,  therapy*
Balloon Dilatation / adverse effects*
Brachiocephalic Trunk*
Calcinosis / complications,  therapy*

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