Korean J Thorac Cardiovasc Surg.
2008 Oct;41(5):651-654.
Surgical Treatment of a Posttraumatic Pseudoaneurysm of the Left Subclavian Artery Mimicking a Mediastinal Tumor: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Busan-Paik Hospital, College of Medicine, Inje University, Korea. ctslee@inje.ac.kr
Abstract
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Posttraumatic pseudoaneurysms of the subclavian artery are very rare. A 49-year-old woman who had been involved in a car accident ten years before presentation was initially diagnosed with a mediastinal tumor at a local clinic. Exploratory thoracotomy was performed for evaluation and treatment. During the operation, a hematoma was evacuated, and primary repair was undertaken to stop massive bleeding. Computed tomography angiography revealed a pseudoaneurysm of the left subclavian artery. The patient was treated with aneurysmectomy and end-to-end anastomosis. The postoperative course was uneventful.