Delayed Endovascular Stenting of Right Subclavian Artery Pseudoaneurysm Caused by Gunshot Accident in a Syrian Refugee: A Case Report

Vasc Endovascular Surg. 2017 Aug;51(6):386-389. doi: 10.1177/1538574417710412. Epub 2017 Jun 13.

Abstract

Sharp penetrating injuries causing right subclavian artery pseudoaneurysm are considered rare. Surgical repair is reportedly associated with a high mortality rate and is considered technically challenging. 1 In this case report, we report the successful endovascular repair of a delayed pseudoaneurysm of the right subclavian artery caused by a gunshot injury in a 22-year-old Syrian refugee that was associated with significant right brachial panplexopathy. The patient was successfully managed with angioplastic ballooning of the stenotic region of the artery and a covered self-expanding stent. The patient recovered uneventfully, and follow-up evaluation revealed significant improvement in neurological deficit.

Keywords: interventional; panplexopathy; pseudoaneurysm; stenting; subclavian.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy*
  • Angioplasty, Balloon / instrumentation*
  • Computed Tomography Angiography
  • Humans
  • Hypesthesia / etiology
  • Hypesthesia / physiopathology
  • Male
  • Muscle Weakness / etiology
  • Muscle Weakness / physiopathology
  • Pain / etiology
  • Pain / physiopathology
  • Refugees*
  • Stents*
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / injuries*
  • Syria
  • Treatment Outcome
  • Upper Extremity / innervation*
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology
  • Vascular System Injuries / therapy*
  • Wounds, Gunshot / complications*
  • Wounds, Gunshot / diagnostic imaging
  • Young Adult