Cardiovascular Surgery and Interventions
2016, Vol 3, Num 2 Page(s): 051-054
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A giant intrathoracic right subclavian artery aneurysm: a case report
Şebnem Albeyoğlu, Mustafa Aldağ, Ufuk Çiloğlu, Hakan Kutlu, Sabri Dağsalı
Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Keywords: Subclavian artery; surgery; thoracic aneurysm
Aneurysms of the subclavian artery are extremely rare in the clinical setting. Intrathoracic segmental aneurysms of the subclavian artery can occur secondary to atherosclerosis, cystic necrosis of the tunica media, trauma or infections. Open surgical repair is one of the main treatment choice. However, in case of intrathoracic segment involvement, it commonly necessitates a more invasive surgical approach with sternotomy or high lateral thoracotomy. Herein, we present a 40-year-old male case with an expanding pulsatile mass throughout the right neck and dysphonia due to recurrent laryngeal nerve palsy. Computed tomography demonstrated an 8.5 cm in size proximal right subclavian artery saccular aneurysm with partial thrombosis. On angiography, the aneurysm was originating from about 1 cm after the origin of the right subclavian artery. As the aneurysm was very close to the brachiocephalic bifurcation, open surgical repair via a right supraclavicular incision with mini-sternotomy was performed. Pathological report of the aneurysmal sac was consistent with cystic medial degeneration.
Şebnem Albeyoğlu, Mustafa Aldağ, Ufuk Çiloğlu, Hakan Kutlu, Sabri Dağsalı
Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Keywords: Subclavian artery; surgery; thoracic aneurysm
Aneurysms of the subclavian artery are extremely rare in the clinical setting. Intrathoracic segmental aneurysms of the subclavian artery can occur secondary to atherosclerosis, cystic necrosis of the tunica media, trauma or infections. Open surgical repair is one of the main treatment choice. However, in case of intrathoracic segment involvement, it commonly necessitates a more invasive surgical approach with sternotomy or high lateral thoracotomy. Herein, we present a 40-year-old male case with an expanding pulsatile mass throughout the right neck and dysphonia due to recurrent laryngeal nerve palsy. Computed tomography demonstrated an 8.5 cm in size proximal right subclavian artery saccular aneurysm with partial thrombosis. On angiography, the aneurysm was originating from about 1 cm after the origin of the right subclavian artery. As the aneurysm was very close to the brachiocephalic bifurcation, open surgical repair via a right supraclavicular incision with mini-sternotomy was performed. Pathological report of the aneurysmal sac was consistent with cystic medial degeneration.
DOI : 10.5606/e-cvsi.2016.566
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