Document Detail

Traumatic pseudoaneurysm of the brachiocephalic artery following medianoscopy: initial endovascular repair followed by open surgery--a case report.
MedLine Citation:
PMID:  12852518     Owner:  NLM     Status:  MEDLINE    
Endovascular stent graft repair of traumatic vessel injuries is gaining worldwide acceptance as a minimally invasive alternative to open surgical repair. However, effective endovascular repair fails if the aneurysm is not completely excluded. Conversion to open surgery may be unavoidable in such cases. Herein we describe the case of a 45-year-old man who was referred to our hospital with a pseudoaneurysm of the proximal brachiocephalic artery caused by biopsy during diagnostic medianoscopy. The pseudoaneurysm was primarily treated by stent-graft implantation into the proximal brachiocephalic artery. As a result of the unfavorable location of the lesion exclusion of the aneurysm failed and the initial therapy had to be extended to open reconstruction of the brachiocephalic artery. A bypass procedure from the aortic arch to the right common carotid artery was performed with reinsertion of the right subclavian artery to exclude the pseudoaneurysm.
Matthias Biebl; B Neuhauser; R Perkmann; T Tauscher; P Waldenberger; G Fraedrich
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  69     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-10     Completed Date:  2003-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  542-5     Citation Subset:  IM    
Department of Vascular Surgery, University Hospital Innsbruck, Austria.
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MeSH Terms
Aneurysm, False / etiology*,  surgery*
Angioplasty / methods
Biopsy / adverse effects*
Blood Vessel Prosthesis Implantation / methods*
Brachiocephalic Trunk / injuries*
Mediastinoscopy / adverse effects*
Middle Aged
Sarcoidosis, Pulmonary / pathology

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

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