EURORAD ESR

Case 14459

Subclavian Vein Aneurysm, Case Presentation and Discussion

Author(s)
Manuel David Torres Guzmán MD, Alejandro Romero MD

San Ignacio, Carrera 7 # 40-62; Carrera 7-C Bis, # 141-A - 27, Casa 70 110121 Bogota; Email:macrosdavtorres@gmail.com
 
Patient
female, 64 year(s)
 
 
  • Figure 1
    Neck and thoracic inlet CT
     

    Neck and thoracic inlet CT with intravenous contrast media in axial projection, a saccular aneurysm of the upper edge of the left subclavian vein can be seen (arrow), without evidence of rupture.

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Venous access; Special Focus: Aneurysms; Oedema;

    Neck and thoracic inlet CT with intravenous contrast media in coronal reconstruction, in which a saccular aneurysm of the upper edge of the left subclavian vein can be seen (arrow), without evidence of rupture.

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Venous access; Special Focus: Aneurysms; Oedema;

    Neck and thoracic inlet CT with intravenous contrast media in sagittal reconstruction, in which a saccular aneurysm of the upper edge of the left subclavian vein can be seen (arrow), without evidence of rupture.

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Venous access; Special Focus: Aneurysms; Oedema;
     
     
  • Figure 2
    Venography of the left subclavian vein
     

    Venography of the left subclavian vein after catheterization and subsequently of the aneurysm, shows filling of the venous dilatation after the injection of contrast media, with preserved patency of the subclavian vein.

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Catheter venography; Digital radiography; Fluoroscopy; Procedure: Catheters; Diagnostic procedure; Embolisation; Special Focus: Aneurysms;

    Venography of the left subclavian vein after catheterization and subsequently of the aneurysm, shows filling of the venous dilatation after the injection of contrast media. The dimensions of the lesion are noted

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Catheter venography; Digital radiography; Fluoroscopy; Procedure: Catheters; Diagnostic procedure; Embolisation; Special Focus: Aneurysms;
     
     
  • Figure 3
    Duplex Doppler
     

    Gray scale and Color Doppler exploration demonstrates the aneurysm and an echogenic image attached to a wall in its interior, compatible with mural thrombus.

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Ultrasound; Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Intraoperative; Special Focus: Aneurysms;

    Gray scale and Color Doppler exploration, orthogonal to Fig. 3a, demonstrates the aneurysm and an echogenic image attached to a wall in its interior, compatible with mural thrombus

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Ultrasound; Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Intraoperative; Special Focus: Aneurysms;

    Gray scale and Color Doppler exploration, showing evidence of the patency of the subclavian vein adjacent to the aneurysm

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Ultrasound; Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Intraoperative; Special Focus: Aneurysms;
     
     
  • Figure 4
    Venography of the left subclavian vein

    Venography of the left subclavian vein after endovascular therapy with coils within the aneurysm. Complete exclusion of aneurysm from the venous circulation and patency of the veins is observed.

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Catheter venography; Digital radiography; Fluoroscopy; Procedure: Catheters; Embolisation; Venous access; Special Focus: Aneurysms;
     
     
  • Figure 5
    Doppler ultrasound
     

    Power Doppler demonstrates irregular echogenic image which generates acoustic shadowing, corresponding to embolization material within the aneurysm. There is adequate bloodflow within the subclavian vein

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Ultrasound; Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Embolisation; Special Focus: Aneurysms;

    Spectral Doppler demonstrates adequate bloodflow within the subclavian vein

     
    Area of Interest: Head and neck; Interventional vascular; Vascular; Imaging Technique: Ultrasound; Ultrasound-Spectral Doppler; Procedure: Diagnostic procedure; Embolisation; Intraoperative; Special Focus: Aneurysms;
     
     
Neck and thoracic inlet CT with intravenous contrast media in axial projection, a saccular aneurysm of the upper edge of the left subclavian vein can be seen (arrow), without evidence of rupture.
 
Neck and thoracic inlet CT with intravenous contrast media in coronal reconstruction, in which a saccular aneurysm of the upper edge of the left subclavian vein can be seen (arrow), without evidence of rupture.
 
Neck and thoracic inlet CT with intravenous contrast media in sagittal reconstruction, in which a saccular aneurysm of the upper edge of the left subclavian vein can be seen (arrow), without evidence of rupture.
 
Venography of the left subclavian vein after catheterization and subsequently of the aneurysm, shows filling of the venous dilatation after the injection of contrast media, with preserved patency of the subclavian vein.
 
Venography of the left subclavian vein after catheterization and subsequently of the aneurysm, shows filling of the venous dilatation after the injection of contrast media. The dimensions of the lesion are noted
 
Gray scale and Color Doppler exploration demonstrates the aneurysm and an echogenic image attached to a wall in its interior, compatible with mural thrombus.
 
Gray scale and Color Doppler exploration, orthogonal to Fig. 3a, demonstrates the aneurysm and an echogenic image attached to a wall in its interior, compatible with mural thrombus
 
Gray scale and Color Doppler exploration, showing evidence of the patency of the subclavian vein adjacent to the aneurysm
 
Venography of the left subclavian vein after endovascular therapy with coils within the aneurysm. Complete exclusion of aneurysm from the venous circulation and patency of the veins is observed.
 
Power Doppler demonstrates irregular echogenic image which generates acoustic shadowing, corresponding to embolization material within the aneurysm. There is adequate bloodflow within the subclavian vein
 
Spectral Doppler demonstrates adequate bloodflow within the subclavian vein
 
 
 
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