Respir Case Rep. 2016; 5(2): 135-138 | DOI: 10.5505/respircase.2016.08870

INTERACTIVE CASE REPORT: Left Subclavian Artery Aneurysm after Gunshot Injury

Muharrem Çakmak¹, Atilla Durkan¹, Bülent Öztürk¹, Kerem Toprak², Fýrat Ayaz³, Mehmet Nail Kandemir^1
1Clinic of Thoracic Surgery, Gazi Yasargil Education and Research Hospital, Diyarbakýr, Turkey
²Clinic of Radiology, Gazi Yasargil Education and Research Hospital, Diyarbakýr, Turkey
³Clinic of Cardiovasculer Surgery, Gazi Yasargil Education and Research Hospital, Diyarbakýr, Turkey

Aneurysms of the subclavian artery (ASA) are uncommon. The most common etiological factors of ASA are atherosclerosis and Thoracic Outlet Syndrome. A gunshot wound is an extremly rare in etiology. The most common symptoms are chest and shoulder pain. The main complications are rupture, thrombosis, embolism, and peripheral ischemia in the upper extremity. Chest X-ray, arteriography, computed tomography, and angiography are used for the definite diagnosis. Treatment is surgical or endostent application. Here, we present a case with the left ASA after a gunshot injury.

Keywords: Trauma, Gunshot injury, Subclavian artery, Endostent

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ÝNTERAKTÝF OLGU SUNUMU: Ateþli Silah Yaralanmasý Sonrasý Sol Subklavian Arter Anevrizmasý

Muharrem Çakmak¹, Atilla Durkan¹, Bülent Öztürk¹, Kerem Toprak², Fýrat Ayaz³, Mehmet Nail Kandemir^1
1Gazi Yaþargil Eðitim Ve Araþtýrma Hastanesi, Göðüs Cerrahisi Kliniði, Diyarbakýr, Türkiye
²Gazi Yaþargil Eðitim Ve Araþtýrma Hastanesi Radyoloji Kliniði, Diyarbakýr, Türkiye
³Gazi Yaþargil Eðitim Ve Araþtýrma Hastanesi Kalp Damar Cerrahisi Kliniði, Diyarbakýr, Türkiye

Subklavian arter anevrizmalarý (SAA) nadirdir. SAA'da, en sýk etiyolojik nedenler olarak, ateroskleroz ve torasik outlet sendromu bildirilmiþtir. Travma nedenli, özellikle de ateþli silah yaralanmasýna baðlý penetran yaralanma sonrasý SAA'lar çok daha nadirdir. SAA'larda en yaygýn semptom, göðüs ve omuz aðrýsýdýr. Rüptür, tromboz geliþimi, periferal emboli ve üst ekstremitelerde iskemi baþlýca komplikasyonlardýr. Tanýda, akciðer grafisi, arteriografi, bilgisayarlý tomografi ve anjiyografi kullanýlýr. Tedavi cerrahi ya da endovasküler stent uygulamasý þeklindedir. Burada, ateþli silah yaralanmasý sonrasý ortaya çýkan sol subklavian arter anevrizmasý olgu-sunu sunduk.

Anahtar Kelimeler: Travma, Ateþli silah yaralanmasý, Subklavian arter, Endostent

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Image Slices of the Case

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