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Case Reports in Vascular Medicine
Volume 2017 (2017), Article ID 9030457, 4 pages
https://doi.org/10.1155/2017/9030457
Case Report

Endovascular Management of Right Subclavian Artery Pseudoaneurysm due to War Injury in Adolescent Patient

1Tepecik Training and Research Hospital, Department of Cardiovascular Surgery, 35170 İzmir, Turkey
2Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Cardiovascular Surgery, 34147 İstanbul, Turkey

Correspondence should be addressed to Onur Saydam; moc.liamtoh@madyasruno

Received 21 May 2017; Accepted 13 August 2017; Published 11 September 2017

Academic Editor: Jaw-Wen Chen

Copyright © 2017 Onur Saydam et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Today there is a widespread use of endovascular treatment (EVT) for traumatic vascular injuries in adults, but there is lack of evidence of its use in adolescent patients with vascular injuries. With this case, we present successful EVT of 14-year-old adolescent with a right subclavian artery pseudoaneurysm (SAP) due to war injury. SAP was successfully excluded with deployment of  mm flexible, self-expanding covered nitinol stent graft (The GORE® VIABAHN® Endoprosthesis (W.L. Gore & Associates, Flagstaff, AZ)). Patient was discharged from hospital 2 days after the procedure with dual antiplatelet therapy (clopidogrel and aspirin). 3 months after discharge control DUS showed patent stent graft without any residual lesions. As a result, EVT is an alternative approach to treatment of SAP. It is safe, effective, and less invasive therapy for SAP in adults as well as in adolescents. We aim to contribute to the literature with this first case report.