• J. Korean Med. Sci. · Aug 2005

    Case Reports

    Intrathoracic aneurysm of the right subclavian artery presenting with hoarseness: a case report.

    • Hong Gun Bin, Myoung Sook Kim, Seok Chan Kim, Jong Bum Keun, Jong Ho Lee, and Seung Soo Kim.
    • Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul.
    • J. Korean Med. Sci. 2005 Aug 1; 20 (4): 674-6.

    AbstractIntrathoracic 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.

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