Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000400014
Jornal Vascular Brasileiro
Case Report

Arterite actínica de artéria subclávia: relato de caso e revisão de literatura

Actinic arteritis of subclavian artery: case report and literature review

Sergio Quilici Belczak; Nino Behar; Igor Rafael Sincos; Thiago José Cavaquini; Gilberto Nering; Caio Azevedo; Luis Felipe Slavo; Ricardo Aun

http://dx.doi.org/10.1590/S1677-54492012000400014 J Vasc Bras, vol.11, n4, p.329-333, 2012
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Resumo

Diversas são as complicações possíveis da radioterapia na adjuvância do tratamento de neoplasias. Lesões actínicas de artéria subclávia em pacientes submetidos a este tipo de tratamento para neoplasia de mama são complicações conhecidas, porém com poucos relatos de casos publicados. No presente relato, descrevemos um caso de oclusão de artéria subclávia direita em paciente submetida à radioterapia para tratamento de neoplasia de mama, tratada com a revascularização convencional, com interposição de enxerto de politetrafluoretileno (PTFE). Na revisão da literatura realizada, foram encontrados doze casos descritos que evidenciaram diferentes opções terapêuticas. Concluímos que a arterite actínica de artéria subclávia é uma doença incomum, entretanto sua hipótese deve ser aventada em todos os pacientes com isquemia de membro superior já submetidos a tratamento de radioterapia.

Palavras-chave

artéria subclávia, efeitos de radiação, câncer de mama

Abstract

Several complications may occur as a consequence of adjuvant radiotherapy for cancer. One of these complications is actinic lesions of the subclavian artery in patients undergoing radiotherapy for breast cancer; however, there are few reported cases. In the present case report, we describe a case of right subclavian artery occlusion in a patient undergoing radiotherapy for breast cancer. Occlusion was treated by means of conventional artery bypass with interposition graft with polytetrafluoroethylene (PTFE). Our extensive review of the literature revealed 12 reported cases showing the different treatment options performed. We concluded that actinic arteritis of the subclavian artery is an uncommon condition; however, its presence should be considered in all patients with upper limb ischemia who underwent radiotherapy.

Keywords

subclavian artery, radiation effects, breast cancer

Referências

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