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Giant aneurysm of the right intra thoracic sub-clavian artery presenting as a dysphonia

Aneurysms of the intra-thoracic subclavian artery (SCA) are rare. They are often revealed by complications. Surgical treatment is always indicated. Endovascular treatment is a less invasive alternative. We report a case of a 60 years-old woman admitted for right chest pain and dysphonia. Laryngoscop...

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Detalles Bibliográficos
Autores principales: Mechchat, Alae, El Hammoumi, Massine M, EL Mesnaoui, Abbas, Lekehal, Brahim, Bensaid, Youness
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215561/
https://www.ncbi.nlm.nih.gov/pubmed/22355438
Descripción
Sumario:Aneurysms of the intra-thoracic subclavian artery (SCA) are rare. They are often revealed by complications. Surgical treatment is always indicated. Endovascular treatment is a less invasive alternative. We report a case of a 60 years-old woman admitted for right chest pain and dysphonia. Laryngoscopy noted a right vocal cord palsy. Chest computed tomography and angiography showed a giant aneurysm of the intra-thoracic right SCA. A resection-ligation of the aneurysm was performed by a supra-clavicular approach. Postoperative course was uneventful. The histology defined an atherosclerotic aneurysm. The patient underwent voice reeducation with partial improvement after six months.