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An unusual case of the right subclavian artery aneurysm resulting from long-term repetitive blunt chest trauma  Yukihiro Matsuno, MD, PhD, Narihiro Ishida,

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Presentation on theme: "An unusual case of the right subclavian artery aneurysm resulting from long-term repetitive blunt chest trauma  Yukihiro Matsuno, MD, PhD, Narihiro Ishida,"— Presentation transcript:

1 An unusual case of the right subclavian artery aneurysm resulting from long-term repetitive blunt chest trauma  Yukihiro Matsuno, MD, PhD, Narihiro Ishida, MD, PhD, Katsuya Shimabukuro, MD, PhD, Hirofumi Takemura, MD, PhD  Journal of Vascular Surgery  Volume 56, Issue 1, Pages (July 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Contrast-enhanced computed tomography (CT) scan shows a fusiform aneurysm of the right subclavian artery. A, Axial view shows severe neck angulation (arrow). B, Coronal view shows origin of the right vertebral artery (arrow). C, Aneurysm is seen on a three-dimensional CT image. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Retrograde axillosubclavian arteriogram shows the origin of the right vertebral artery (arrow). B, For distal control, the occlusion balloon catheter was inflated at the proximal site from the origin of the right vertebral artery. C, Intraoperative findings. BCA, Brachiocephalic artery, RCCA; right common carotid artery; SAA, subclavian artery aneurysm. D, Completed resection of the aneurysmal sac and reanastomosis. SA, Reanastomosed right subclavian artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Histopathologic examination of the resected aneurysmal wall revealed that all three layers of the arterial wall were comparatively intact, with fibrosis and lipid deposition in the intima and in various degrees of degeneration in the media. A, Original magnification, ×4 with hematoxylin and eosin stain. B, Original magnification, × 10 with elastic van Gieson stain. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions


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