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[A right subclavian artery aneurysm with hoarseness]
1Department of Surgery II, Kochi Medical School, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|April 1, 1995
Summary
A 64-year-old man underwent successful surgical repair for a right subclavian artery aneurysm. The procedure involved ligation and prosthetic bypass, offering a viable treatment for this rare vascular condition.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Surgical Innovation
Background:
- Subclavian artery aneurysms are rare but serious vascular conditions.
- Hoarseness can be an unusual presenting symptom of subclavian artery pathology due to recurrent laryngeal nerve involvement.
Observation:
- A 64-year-old male patient presented with hoarseness.
- Computed tomography (CT) scan and selective angiography identified an aneurysm distal to the origin of the right subclavian artery.
Findings:
- Surgical intervention was performed via median sternotomy and supraclavicular incision.
- The procedure included proximal and distal ligation of the affected vessel segment.
- A prosthetic graft bypass was successfully implemented using simple clamping of the brachiocephalic artery.
Implications:
- This case demonstrates a successful surgical approach for treating right subclavian artery aneurysms.
- The findings suggest that aneurysm adherence to surrounding tissues may simplify exclusion techniques.
- This surgical strategy provides a potential solution for managing complex subclavian artery aneurysms.