A Case of Infectious Pseudoaneurysms of the Left Subclavian Artery and Abdominal Aorta in a Patient with a Metal Allergy

DOI Web Site 8 References
  • Matsuoka Kentaro
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Takashima Noriyuki
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Kamiya Kenichi
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Enomoto Masahide
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Hachiro Kohei
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Wakisaka Hodaka
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Kado Komei
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Chimada Bruno Yuji
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science
  • Suzuki Tomoaki
    Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science

Bibliographic Information

Other Title
  • 金属アレルギー患者に発症したステント留置後左鎖骨下動脈および腹部大動脈感染性仮性動脈瘤の1例

Search this article

Abstract

<p>We report a case of surgery for an infectious left subclavian artery aneurysm in a patient with metal allergy. The patient was a 41-year-old man allergic to iron, silver, manganese, and chromium. He had received a Nitinol stent in the left subclavian artery at a previous hospital. One stent had fallen out during implantation, and was put away in the terminal aorta. Ten days after the left subclavian implantation, the patient developed left shoulder pain and fever, which continued for 2 weeks. Contrastenhanced CT scan revealed a pseudoaneurysm of the left subclavian artery and abdominal aortitis. The patient underwent left subclavian artery aneurysmectomy, aorto-left subclavian artery bypass using the great saphenous vein, and removal of the stents in the left subclavian artery and abdominal aorta. The surgery was performed through a median sternotomy with cardiopulmonary support. A contrast-enhanced CT scan taken on the 12th postoperative day revealed a pseudoaneurysm of the abdominal aorta, and the patient underwent abdominal aortic artery replacement surgery on the 14th postoperative day. The patient was discharged from the hospital on the 27th day after the first surgery. The treatment of an aneurysm should be selected according to the patient’s background as well as anatomical factors.</p>

Journal

References(8)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top