Management of a Patient With Turner Syndrome Presenting With an Isolated Left Subclavian Artery Aneurysm. (July 2013)

• Record Type: Journal Article
• Authors: Columbo, Jesse; Simons, Jessica P.; Baril, Donald T.; Schanzer, Andres
• Is Part Of: Vascular & endovascular surgery. Volume 47:Number 5(2013)
• Page Start: 397
• Page End: 399
• Publication Date: 2013-07
• Subjects: subclavian artery aneurysm -- endovascular -- hybrid management; 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: 10.1177/1538574413487438
• Languages: English
• ISSNs: 1538-5744

Abstract

We describe a case of a 52-year-old female with Turner syndrome found to have an isolated 3.5-cm left subclavian artery aneurysm. Surgical intervention was performed to decrease the risk of compressive symptoms, distal embolization, and rupture. This entailed exclusion of the aneurysm proximally using thoracic stent graft, carotid–subclavian bypass, and ligation of the subclavian artery distal to the aneurysm. One-year follow-up demonstrated exclusion of the aneurysm with a 5-mm reduction in maximum aneurysm sac diameter. This case represents the management of a rare isolated left subclavian artery aneurysm, in the setting of Turner syndrome, treated with a successful endovascular approach.