A Case of Saccular Bimodal Subclavian Aneurysm Undergoing Aneurysmectomy and Subclavian Artery Direct Anastomitic Repair

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  • Hayashida Tomohiro
    Department of Cardiovascular Surgery, Fukuyama City Hospital, Hiroshima, Japan
  • Miura Nozomu
    Department of Cardiovascular Surgery, Fukuyama City Hospital, Hiroshima, Japan
  • Kioka Yukio
    Department of Cardiovascular Surgery, Fukuyama City Hospital, Hiroshima, Japan
  • Suezawa Takanori
    Department of Cardiovascular Surgery, Fukuyama City Hospital, Hiroshima, Japan

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  • 囊状2峰性の鎖骨下動脈瘤に対し鎖骨下動脈直接吻合での再建を行った一例

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Abstract

<p>We report a rare surgical case of multimodal subclavian aneurysm. A 71-year-old female referred to our hospital to treat bimodal saccular subclavian aneurysms accidentaly found on CT. Her vagus and recurrent laryngeal nerves were entangled in the aneurysm and displaced medially. A supraclavicular approach utilizing transection of the sternal head of sternocleidomastoid muscle provided an enough surgical field and the operation was performed uneventfully. The postoperative course was favorable. Multimodal subclavian aneurysm is rare, and we report it with reference to the literature.</p>

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