Intrathoracic Aneurysm of the Right Subclavian Artery Presenting with Hoarseness: A Case Report.
10.3346/jkms.2005.20.4.674
- Author:
Hong Gun BIN
1
;
Myoung Sook KIM
;
Seok Chan KIM
;
Jong Bum KEUN
;
Jong Ho LEE
;
Seung Soo KIM
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jsskim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Aneurysm;
Hoarseness;
Subclavian Artery
- MeSH:
Aged;
Aortic Aneurysm, Thoracic/complications/*pathology;
Female;
Hoarseness/etiology/*pathology;
Humans;
Magnetic Resonance Imaging/methods;
Subclavian Artery/*pathology/radiography
- From:Journal of Korean Medical Science
2005;20(4):674-676
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
