title: Giant aneurysm of the right intra thoracic sub-clavian artery presenting as a dysphonia.
abstract: Aneurysms of the intra-thoracic subclavian artery (SCA) are rare. They are often revealed by complications. Surgical treatment is always indicated. Endovascular treatment is a less invasive alternative. We report a case of a 60 years-old woman admitted for right chest pain and dysphonia. Laryngoscopy noted a right vocal cord palsy. Chest computed tomography and angiography showed a giant aneurysm of the intra-thoracic right SCA. A resection-ligation of the aneurysm was performed by a supra-clavicular approach. Postoperative course was uneventful. The histology defined an atherosclerotic aneurysm. The patient underwent voice reeducation with partial improvement after six months.
authors.affiliation: Department D of General and Vascular Surgery, Hospital Avicenne, Rabat, Morocco.
authors.forename: Alae
authors.initials: A
authors.lastname: Mechchat
authors.forename: Massine M
authors.initials: MM
authors.lastname: El Hammoumi
authors.forename: Abbas
authors.initials: A
authors.lastname: El Mesnaoui
authors.forename: Brahim
authors.initials: B
authors.lastname: Lekehal
authors.forename: Youness
authors.initials: Y
authors.lastname: Bensaid
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D055154:Dysphonia / Q000209:etiology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007828:Laryngoscopy; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D017131:Thrombectomy; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000601:surgery