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KMID : 0364020090420050649
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 5 p.649 ~ p.652
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Atherosclerotic Aneurysm of the Right Proximal Subclavian Artery -A case report-
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Kim Duck-Sil
Lee Hyeon-Jae
Lim Chang-Young
Lee Gun
Kim Sung-Wan
Kim Byung-Ki
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Abstract
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A 75-year-old man presented with worsening dyspnea and intermittent dysphagia of one month’s duration. A plain chest X-ray showed severe tracheal indentation by the right superior mediastinal mass. A chest CT established the diagnosis of a saccular aneurysm arising from the right proximal subclavian artery. Resection of the aneurysm and arterial revascularization was done through a median sternotomy with supraclavicular extension. Aneurysm wall and thrombus culture results were negative and pathology showed an atherosclerotic aneurysm. After the operation, dyspnea and dysphagia were reduced, but he died of advanced stomach cancer 8 months later.
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KEYWORD
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Arteries, Aneurysm, Revascularization
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