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Alae Mechchat, Massine M El Hammoumi, Abbas EL Mesnaoui, Brahim Lekehal, Youness Bensaid. Giant aneurysm of the right intra thoracic sub-clavian artery presenting as a dysphonia. The Pan African Medical Journal. 2011;9:39 Key words: Aneurysm, sub-clavian artery, surgery, Morocco Permanent link: http://www.panafrican-med-journal.com/content/article/9/39/full Received: 30/06/2011 - Accepted: 07/08/2011 - Published: 17/08/2011 © Alae Mechchat et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Giant aneurysm of the right intra thoracic sub-clavian artery presenting as a dysphonia
Alae Mechchat1, Massine M El Hammoumi2,&, Abbas EL Mesnaoui1, Brahim Lekehal1, Youness Bensaid1
1Department D of General and Vascular Surgery, Hospital Avicenne, Rabat, Morocco, 2Department of Thoracic Surgery, Military University Hospital, Rabat, Morocco
&Corresponding author
Massine M El Hammoumi, Departement of Thoracic Surgery, Military Teaching Hospital, Hay Riad , 10100, Rabat, Morocco
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.
