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

Bin, Hong Gun    (Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.   ); Kim, Myoung Sook    (Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.   ); Kim, Seok Chan    (Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.   ); Keun, Jong Bum    (Department of Thoracic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.   ); Lee, Jong Ho    (Department of Thoracic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.   ); Kim, Seung Soo    (Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.  );
  • 초록

    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 end-to-end anastomosis via median sternotomy. Postoperative pathology was consistent with an atherosclerotic aneurysm filled with thrombus. After surgical operation, hoarseness is still continued.


  • 주제어

    Aneurysm .   Hoarseness .   Subclavian Artery.  

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