Mechchat Alae, El Hammoumi Massine M, El Mesnaoui Abbas, Lekehal Brahim, Bensaid Youness
Department D of General and Vascular Surgery, Hospital Avicenne, Rabat, Morocco.
Pan Afr Med J. 2011;9:39. doi: 10.4314/pamj.v9i1.71217. Epub 2011 Aug 17.
Aneurysms of the intra-thoracic subclavian artery (SCA) are rare. They are often revealed by complications. Surgical treatment is always indicated. Endovascular treatment is a less invasive alternative. We report a case of a 60 years-old woman admitted for right chest pain and dysphonia. Laryngoscopy noted a right vocal cord palsy. Chest computed tomography and angiography showed a giant aneurysm of the intra-thoracic right SCA. A resection-ligation of the aneurysm was performed by a supra-clavicular approach. Postoperative course was uneventful. The histology defined an atherosclerotic aneurysm. The patient underwent voice reeducation with partial improvement after six months.
胸段锁骨下动脉（SCA）动脉瘤罕见。它们常因并发症而被发现。手术治疗总是必要的。血管内治疗是一种侵入性较小的替代方法。我们报告一例60岁女性因右胸痛和声音嘶哑入院。喉镜检查发现右侧声带麻痹。胸部计算机断层扫描和血管造影显示胸段右侧锁骨下动脉巨大动脉瘤。通过锁骨上入路进行动脉瘤切除结扎术。术后过程顺利。组织学检查确定为动脉粥样硬化性动脉瘤。患者接受了嗓音康复训练，六个月后有部分改善。
