Abstract
We report a rare case of a right subclavian artery aneurysm with recurrent laryngeal nerve paralysis. A 67-year-old male who complained of hoarseness was diagnosed with recurrent laryngeal nerve paralysis and a right subclavian artery aneurysm. Contrast-enhanced computed tomography revealed that the recurrent laryngeal nerve passed through a tortuous aneurysm. To avoid direct surgical damage to the laryngeal nerve, a hybrid treatment with stent grafting was chosen. Stent grafting (Viabahn VBX, W.L.Gore & Associates, Flagstaff, AZ, USA) from the brachiocephalic artery to the right common carotid artery, measuring 7×39 mm, was performed followed by the embolization of the distal aneurysm (Target (Stryker Neurovascular, Fremont, CA) 10 mm–40 cm) using Interlock (Boston Scientific, Marlborough, MA, USA) measuring 8 mm–20 cm. A bypass from the right common carotid artery to the right subclavian artery (Propaten 7 mm, W.L.Gore & Associates, Flagstaff, AZ, USA) was performed. Six months later, the patient’s hoarseness disappeared, and the aneurysm reduced in size. Three years and six months have passed without recurrence of hoarseness, enlargement of the aneurysm, or bypass occlusion.
