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A rare presentation of idiopathic right subclavian artery aneurysm successfully tackled by endovascular stent-grafting
  1. Sandeep Mohanan,
  2. Rakesh Jain,
  3. M N Krishnan,
  4. Vinayakumar Desabandhu
  1. Department of Cardiology, Calicut Government Medical College, Calicut, Kerala, India
  1. Correspondence to Dr Sandeep Mohanan, Department of Cardiology, Calicut Government Medical College, ‘Deepthi’, Kavu stop, Chevayoor PO, Calicut, Kerala 673017, India; stg222{at}gmail.com

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A 32-year-old woman presented with symptoms of dysphagia to solid food for 6 months. She had no significant past medical history or trauma. Examination revealed a subtly palpable pulsatile swelling at the root of right side of the neck. Contrast-enhanced CT showed a complex saccular aneurysm of the proximal right subclavian artery (figure 1A, B). The involved aneurysmal segment contained three separate saccules, the largest of which measured 4.7×2.3 cm. A selective digital subtraction angiography was done contemplating the possibility of endovascular intervention (figure 1C). In a cross-section image, the aneurysm …

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