92 - Postersitzung
17. Mai 2019, 12:30 - 14:00, Bellavista 2, 6. OG
Impending arterial occlusion following compression of the subclavian artery stent by clavicular pseudarthrosis after multiple fractures in childhood - An unusual case of thoracic outlet syndrome (TOS)
C. Ciobanu1, A. Zdoroveac1, R. Marti1, N. Renner1, L. Gürke2, P. Stierli1, Presenter: C. Ciobanu1 (1Aarau, 2Basel)
A 60-year-old patient suffered as a child multiple left-sided clavicular fractures, which were treated conservatively. 50 years later he developed a critical ischemia of the left arm with a paresis. The cause of ischemia was an occlusion of the subclavian-brachial artery. The initial treatment was a thrombectomy of the subclavian-brachial artery followed by a stent implantation in the subclavian artery. An oral anticoagulation with Marcoumar was started. A CT Angiogram at 3 month follow up reveals a compression of the stent in the subclavian artery. The reason for the compression in CT was an extensive clavicular defect corresponded to a fibrous callus formation in a MRI. The patient initially remained asymptomatic. Due to an impending arterial occlusion surgical treatment is required in this unusual case of thoracic outlet syndrome (TOS).