Successful Management of Subclavian Artery Pseudoaneurysm After Subclavian Vein Cannulation: Report of a Case

成功地治療因鎖骨下靜脈穿刺而引起的鎖骨下偽性動脈瘤：一病例報告

黃成任(Cheng-Jen Huang) ； 施志勳(Chih-Shiun Shih) ； 羅秉漢(Ping-Han Lo) ； 丁志中(Ping-Chun Lee) ； 李秉純(Chih-Chung Ting) ； 許南榮(Nan-Yung Hsu)

《Mid-Taiwan Journal of Medicine》 6卷1期 (2001/03) Pp. 52-56

https://doi.org/10.6558/MTJM.2001.6(1).8

摘要

經由施行鎖骨下靜脈穿刺而引起鎖骨下儲性動脈瘤的併發症並不常見。一個十九歲男性患有外傷性乳糜胸而接受全靜脈性營養補充，而產生臂神經叢壓迫症狀。在動脈弓血管 攝影下，發現鎖骨下偽性動脈瘤。由此接受經血管內之血管修補技術，而得到良好的臨床效果，在此我們將報告此個案之臨床表現及關於鎖骨下偽性動脈瘤之治療。

關鍵字

乳糜胸 ； 血胸 ； 鎖骨下偽性動脈瘤

並列摘要

Subclavian artery pseudoaneurysm after subclavian vein cannulation is not usually seen. A 19-year-old man with left traumatic chylothorax was managed using central. Venous cannulation over his left subclavian vein for administration of total parental nutrition. Severe left shoulder pain, hoarseness, left ptosis, left upper limb muscle power weakness, and left-hand numbness were disclosed gradually. Subsequent arch aortography revealed a left subclavian artery pseudoaneurysm. Endovascular stented graft repair was performed, and all the symptoms and signs induced by the pseudoaneurysm subsided gradually. In this study, we present the chinical characteristics, discuss this unusual complications, and review the literature concerning diagnosis and management of pseudoaneurysm of the subclavian artery.

並列關鍵字

chylothorax ； hemothorax ； pseudoaneurysm