2019 Volume 28 Issue 6 Pages 403-406
Subclavian artery aneurysms are rare, and the therapeutic strategy used in patients varies across hospitals depending on surgeons’ preferences. Vascular graft replacement and stent-grafting are among the various therapeutic options available in such cases. However, no gold-standard technique is established to treat patients with this uncommon clinical presentation. We present the case of 59-year-old woman in whom chest radiography performed during a medical check-up led to a high index of clinical suspicion for mediastinal tumor. Therefore, she underwent contrast enhanced computed tomography, which revealed a left subclavian artery aneurysm. She was subsequently referred to the Department of Cardiovascular Surgery for surgical treatment. Following through review and assessment, we concluded that she was relatively young to undergo stent-grafting, and assessment of anatomical suitability for repair revealed a steep aortic arch. Therefore, we decided to perform total arch replacement with median sternotomy. The patient’s postoperative course was uneventful. We report a case of subclavian artery aneurysm in a patient who showed a favorable outcome following total aortic arch replacement. Therefore, we propose that appropriate surgical alternatives including total arch replacement should be considered in patients presenting with this condition.
