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Subclavian Artery Occlusion and Pseudoaneurysm Caused by Lung Apex Mucormycosis: Successful Treatment with Transcatheter Embolization

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Abstract

Subclavian artery pseudoaneurysm and occlusion in young patients are usually post-traumatic. We report the case of a 33-year-old diabetic woman with subclavian artery occlusion and pseudoaneurysm formation caused by pulmonary mucormycosis infection. The patient presented with diabetic ketoacidosis, Horner’s syndrome, and absent left arm pulses. A cystic lesion of the left lung apex was found by imaging, was surgically resected, and was histologically diagnosed as mucormycosis infection. Magnetic resonance angiography depicted a left subclavian artery pseudoaneurysm and occlusion adjacent to the mucormycosis lesion. To protect against thromboembolic complications and rupture, the pseudoaneurysm was embolized with coils. The patient is clinically well 1 year after the intervention with no perfusion of the pseudoaneurysm.

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Authors and Affiliations

  1. 2nd Department of Radiology, Athens University Medical School, Attikon Hospital, 1 Rimini Street, Athens, Greece

    Nikolaos Economopoulos, Dimitris Kelekis, Christina Kontopoulou & Elias N. Brountzos

  2. 4th Department of Internal Medicine, Athens University Medical School, Attikon Hospital, 1 Rimini Street, Athens, Greece

    Antonios Papadopoulos

Authors
  1. Nikolaos Economopoulos
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  2. Dimitris Kelekis
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  3. Antonios Papadopoulos
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  4. Christina Kontopoulou
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  5. Elias N. Brountzos
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Correspondence to Elias N. Brountzos.

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Economopoulos, N., Kelekis, D., Papadopoulos, A. et al. Subclavian Artery Occlusion and Pseudoaneurysm Caused by Lung Apex Mucormycosis: Successful Treatment with Transcatheter Embolization. Cardiovasc Intervent Radiol 30, 143–145 (2007). https://doi.org/10.1007/s00270-005-0328-1

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  • DOI: https://doi.org/10.1007/s00270-005-0328-1

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