Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery. (April 2022)

• Record Type: Journal Article
• Authors: Obisesan, Aanuoluwapo; Manchester, Dustin; Lin, Maggie; Fitzpatrick, Raymond J.
• Is Part Of: Vascular & endovascular surgery. Volume 56:Number 3(2022)
• Page Start: 312
• Page End: 315
• Publication Date: 2022-04
• Subjects: Mycotic aneurysms -- subclavian aneurysms -- carotid-axillary bypass; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/15385744211068616
• Languages: English
• ISSNs: 1538-5744

Abstract

Mycotic subclavian aneurysms are rare, and their presence typically mandates urgent repair due to the associated high risk of rupture and mortality. A multi-disciplinary team effort is of utmost importance in ensuring favorable results. In this case report, we present a 79-year-old male with a rapidly enlarging mycotic left subclavian artery aneurysm secondary to a retrosternal abscess and left sternoclavicular septic arthritis, who underwent aneurysmal exclusion, a left carotid-left axillary bypass and pectoralis muscle flap coverage with a good outcome.