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Intrathoracic Aneurysm of the Right Subclavian Artery Presenting with Hoarseness: A Case Report

2005; Korean Academy of Medical Sciences; Volume: 20; Issue: 4 Linguagem: Inglês

10.3346/jkms.2005.20.4.674

1598-6357

Hong Gun Bin, Myoung Sook Kim, Seok Chan Kim, Jong Bum Keun, Jong Ho Lee, Seung Soo Kim,

Cardiac tumors and thrombi

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.