A Case of Saccular Bimodal Subclavian Aneurysm Undergoing Aneurysmectomy and Subclavian Artery Direct Anastomitic Repair

Abstract

We report a rare surgical case of multimodal subclavian aneurysm. A 71-year-old female referred to our hospital to treat bimodal saccular subclavian aneurysms accidentaly found on CT. Her vagus and recurrent laryngeal nerves were entangled in the aneurysm and displaced medially. A supraclavicular approach utilizing transection of the sternal head of sternocleidomastoid muscle provided an enough surgical field and the operation was performed uneventfully. The postoperative course was favorable. Multimodal subclavian aneurysm is rare, and we report it with reference to the literature.