Intrathoracic aneurysm of the right subclavian artery presenting with hoarseness: a case report.
Intrathoracic segment of the subclavian artery is an unusual location for peripheral arterial aneurysms. They are normally caused by atherosclerosis, medial degeneration, trauma, and infection. We report a case of a patient with right subclavian artery aneurysm presenting with hoarseness. Chest radiograph demonstrated a superior mediastinal mass. Laryngoscopy showed a fixed right vocal cord. By chest computed tomography, magnetic resonance imaging, and angiography, preoperative diagnosis was established as a saccular aneurysm with afferent loop and efferent loop. Patient underwent complete resection of the aneurysm followed by endto-end anastomosis via median sternotomy. Postoperative pathology was consistent with an atherosclerotic aneurysm filled with thrombus. After surgical operation, hoarseness is still continued.
Bin
Hong Gun
HG
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul.
Kim
Myoung Sook
MS
Kim
Seok Chan
SC
Keun
Jong Bum
JB
Lee
Jong Ho
JH
Kim
Seung Soo
SS
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000473:pathology*; D005260:Female; D006685:Hoarseness / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology*