AUTHOR=Tigkiropoulos Konstantinos , Chalvatzoulis Omiros , Chalvatzoulis Eleftherios , Stavridis Kyriakos , Karamanos Dimitrios , Lazaridis Ioannis , Efstathiou Andreas , Saratzis Nikolaos 

TITLE=Open Repair of a 12-cm Posttraumatic Aneurysm of Right Subclavian Artery

JOURNAL=Frontiers in Surgery

VOLUME=Volume 4 - 2017

YEAR=2017

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2017.00071

DOI=10.3389/fsurg.2017.00071

ISSN=2296-875X

ABSTRACT=Purpose: To present a rare case of a patient with a 12cm posttraumatic right subclavian artery aneurysm who was successfully treated by aneurysmatectomy and innominate-axillary bypass.
Case Report: A 54-years old man presented to the emergency department due to progressive dyspnea and hoarseness of voice. His medical record was unremarkable except from a car accident 16 years ago suffering from right pneumothorax and multiple rib fractures. A chest x-ray revealed a mass in the upper lobe of the right lung and the patient was hospitalized for further investigation. A computed tomography (CT) of thorax with intravenous contrast was performed which depicted a giant aneurysm of right subclavian aneurysm. A surgical operation was scheduled by vascular and cardiothoracic surgeons. Aneurysmatectomy and innominate to axillary bypass was performed by a team of cardiac and vascular surgeons. The patient had an uncomplicated progress and was discharged on 5 days under a single antiplatelet therapy and symptom free.
Conclusion: Posttraumatic subclavian artery aneurysm is a rare entity. Imaging is essential in diagnosis and planning of the disease. Open repair remains the goldstandard therapy despite evolution in endovascular surgery in such huge aneurysms.