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Revista Cubana de Angiología y Cirugía Vascular
On-line version ISSN 1682-0037
Abstract
HONDARES GUZMAN, María del Carmen et al. Thyrocervical trunk aneurysm. Rev Cubana Angiol Cir Vasc [online]. 2015, vol.16, n.1, pp. 110-117. ISSN 1682-0037.
The subclavian artery aneurysm is an extremely rare disease that barely accounts for 1 % of all peripheral aneurysms and may be located in different sectors of the aorta. The objective of this paper was to describe the diagnosis and treatment used in a patient carrying an unusual true aneurysm of the right thyrocervical trunk, the subclavian artery branch. The case of 48 years-old woman, with a history of raised volume of the right supraclavicular area, beating tumor that expands, and no previous trauma in the area. The clinical symptoms were pain and parestesias irradiating to the right upper member. Through the ultrasonographic studies (Ecodoppler and AngioTac), she was diagnosed a right thyrocervical trunk aneurysm, branch of the first portion of the subclavian artery. She was operated on at the National Institute of Angiology and Vascular Surgery. She underwent aneurysmectomy and proximal and distal ligature by using supraclavicular approach. A true aneurysm of the referred artery was found. The ultrasonographic studies allowed a precise diagnosis of the problem and the surgical procedure was successful. The patient recovered satisfactorily with no complications up to the present and regression of her clinical symptoms.
Keywords : true aneurysm; supraclavicular approach; aneurysmectomy.