SUBCLAVIAN ARTERY FALSE ANEURYSM ASSOCIATED WITH BRACHIAL-PLEXUS PALSY - A COMPLICATION OF PARENTERAL DRUG-ADDICTION

被引：19
作者：
OLEARY, MR [1 ]
机构：
[1] UNIV CHICAGO HOSP & CLIN,DEPT MED,EMERGENCY MED SECT,CHICAGO,IL 60637
来源：
AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1990年 / 8卷 / 02期
关键词：
brachial plexus; False aneurysm; mycotic aneurysm; parenteral drug addiction; pseudoaneurysm; subclavian artery;
D O I：
10.1016/0735-6757(90)90200-J
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
A 35-year-old female drug addict developed a painful left supraclavicular swelling and profound left arm weakness associated with left hand paresthesia and swelling after cocaine injection into the left base of her neck. Arteriogram confirmed a 3.7-cm false aneurysm of the left subclavian artery and a filling defect of the proximal left axillary artery. Emergent intraoperative treatment consisted of false aneurysm resection, embolectomy, and placement of a prosthetic graft. Distal circulation was restored, but the neurological deficit persisted in the left arm and a fever developed in the patient, necessitating rehospitalization 3 weeks after discharge. False aneurysm, a vascular complication of parenteral drug abuse, may lead precipitously to death by exsanguination if not efficiently and effectively diagnosed and treated. © 1990.
引用
收藏
页码：129 / 133
页数：5
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