title: Surgical reconstruction for intrathoracic aneurysm originating from proximal part of the right subclavian artery.
abstract: Subclavian artery aneurysms are comparatively rare in peripheral aneurysms. We experienced a case of intrathoracic aneurysm originating from the proximal part of the right subclavian artery. A 78 year-old man was referred to our hospital with the diagnosis of a right subclavian artery aneurysm. Enhanced computed tomography demonstrated an intrathoracic aneurysm, originating from the right subclavian artery just proximal of its origin. Through a median sternotomy and supra-infraclavicular incision, we reconstructed the brachiocephalic and right common carotid arteries and bypassed to the distal part of the right subclavian artery by using a T-shaped vascular graft and the aneurysm was excluded.
authors.affiliation: Kansai Rosai Hospital, Department of Cardiovascular Surgery, Amagasaki, Hyogo, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Mizoguchi
authors.forename: Takuya
authors.initials: T
authors.lastname: Miura
authors.forename: Kazushige
authors.initials: K
authors.lastname: Inoue
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwata
authors.forename: Keikou
authors.initials: K
authors.lastname: Tei
authors.forename: Yuuki
authors.initials: Y
authors.lastname: Horio
keywords: graft replacement; intrathoracic aneurysm; subclavian artery aneurysm
references.citation: Surg Today. 2003;33(12):917-21
references.pmid: 14669083
references.citation: Ann Thorac Cardiovasc Surg. 2010 Oct;16(5):376-9
references.pmid: 21030931
references.citation: Eur J Vasc Endovasc Surg. 2010 Jul;40(1):27-34
references.pmid: 20399124
references.citation: Arch Surg. 1972 Aug;105(2):338-44
references.pmid: 5044555
references.citation: Gen Thorac Cardiovasc Surg. 2009 Jul;57(7):376-8
references.pmid: 19597928
references.citation: Ann Surg. 1915 Jun;61(6):641-57
references.pmid: 17863369
references.citation: J Vasc Surg. 2005 Dec;42(6):1206-9
references.pmid: 16376215
references.citation: Eur J Vasc Surg. 1990 Jun;4(3):271-4
references.pmid: 2141315
references.citation: Arch Surg. 2006 May;141(5):513
references.pmid: 16702525