Korean J Thorac Cardiovasc Surg.
2009 Oct;42(5):649-652.
Atherosclerotic Aneurysm of the Right Proximal Subclavian Artery :A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University, Korea. doa1224@dreamwiz.com
- 2Department of Radiology, CHA Gumi Medical Center, CHA University, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University, Korea.
Abstract
- A 75-year-old man presented with worsening dyspnea and intermittent dysphagia of one month's duration. A plain chest X-ray showed severe tracheal indentation by the right superior mediastinal mass. A chest CT established the diagnosis of a saccular aneurysm arising from the right proximal subclavian artery. Resection of the aneurysm and arterial revascularization was done through a median sternotomy with supraclavicular extension. Aneurysm wall and thrombus culture results were negative and pathology showed an atherosclerotic aneurysm. After the operation, dyspnea and dysphagia were reduced, but he died of advanced stomach cancer 8 months later.
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