Document Detail

Stent-graft repair of a mycotic left subclavian artery pseudoaneurysm.
MedLine Citation:
PMID:  12751933     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report successful stent-graft treatment of a mycotic pseudoaneurysm of the left subclavian artery in an immunosuppressed patient. CASE REPORT: A 17-year-old immunosuppressed woman undergoing treatment for recurrent leukemia developed persistent fever and 2 episodes of hemoptysis. A contrast-enhanced computed tomographic (CT) scan demonstrated a saccular aneurysm of the left subclavian artery, which was considered to be a mycotic aneurysm caused by erosive fungal infection from the lung. The pseudoaneurysm was treated with a homemade stent-graft consisting of a nitinol stent and a polyester fabric. A type II endoleak present at the end of the procedure appeared to have sealed spontaneously on the CT scan at 3 days. No neurological deficit or ischemic symptoms of the left arm were noted during the follow-up, which lasted until the patient died 11 months later after rejecting a second bone marrow transplant. CONCLUSIONS: Endovascular repair may be an alternative to open surgery for the management of mycotic aneurysms of the subclavian artery.
Junichiro Sanada; Osamu Matsui; Noboru Terayama; Satoshi Kobayashi; Tetsuya Minami; Tatsuya Chujo; Hiroshi Urayama
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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 Feb 
Date Detail:
Created Date:  2003-05-19     Completed Date:  2003-10-02     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:  66-70     Citation Subset:  IM    
Department of Radiology, Kanazawa University School of Medicine, Japan.
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MeSH Terms
Aneurysm, Infected / microbiology,  radiography,  surgery*
Blood Vessel Prosthesis Implantation*
Immunocompromised Host
Mycoses / complications*
Subclavian Artery / radiography,  surgery*
Tomography, X-Ray Computed
Reg. No./Substance:
0/Alloys; 52013-44-2/nitinol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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