title: "Grape cluster" aneurysm of the right subclavian artery: an unusual manifestation of fibromuscular dysplasia.
abstract: Aneurysmal lesions affecting the intrathoracic portion of the subclavian artery are rare. We present a patient who had a right hemispheric stroke and transient ischemic attacks caused by a complex right subclavian artery aneurysm with unusual morphological features. Successful surgical repair of this lesion is described along with pathological studies demonstrating fibromuscular dysplasia. The occurrence of such lesions and their management is reviewed.
authors.affiliation: Department of Surgery (Section of Vascular Surgery), Washington University School of Medicine, St. Louis, MO 63110, USA. thompsonr@msnotes.wustl.edu
authors.forename: Eric F
authors.initials: EF
authors.lastname: Steinmetz
authors.forename: Paul
authors.initials: P
authors.lastname: Berry
authors.forename: Murray L
authors.initials: ML
authors.lastname: Shames
authors.forename: Celine
authors.initials: C
authors.lastname: Buckley
authors.forename: Lee A
authors.initials: LA
authors.lastname: Goeddel
authors.forename: Robert W
authors.initials: RW
authors.lastname: Thompson
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications*; D006801:Humans; D018810:Magnetic Resonance Angiography; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome