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Pan African Medical Journal

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

A Mechchat, MM El Hammoumi, A EL Mesnaoui, B Lekehal, Y Bensaid

Abstract


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.

Key words: Aneurysm, sub-clavian artery, surgery, Morocco




http://dx.doi.org/10.4314/pamj.v9i1.71217
AJOL African Journals Online