Case Of the Week (COW) 03 March 2013
Answer:
Aneurysm of right subclavian artery- Mycotic etiology.
Findings:
Saccular aneurysm of right subclavian artery beyond the origin of the right vertebral artery. Lung window shows multiple nodules in bilateral apices.
Discussion:
Aneurysms of the subclavian artery are unusual. The most common causes are atherosclerosis and trauma. We report one rare cause of aneurysm of right subclavian artery . E/O Saccular aneurysm of right subclavian artery beyond the origin of the right vertebral artery .Lung window shows multiple nodules in bilateral apices.The patient’s investigation revealed sputum positive tuberculosis. The patient underwent resection of the lesion with graft repair of the subclavian artery . HPE results were suggestive of granulomatous etiology.
Contributed By:
Dr. Sudha Karnan, Dr. Babu Peter MD, DNB
Barnard Institute of Radiology, Chennai
Answer:
Aneurysm of right subclavian artery- Mycotic etiology.
Findings:
Saccular aneurysm of right subclavian artery beyond the origin of the right vertebral artery. Lung window shows multiple nodules in bilateral apices.
Discussion:
Aneurysms of the subclavian artery are unusual. The most common causes are atherosclerosis and trauma. We report one rare cause of aneurysm of right subclavian artery . E/O Saccular aneurysm of right subclavian artery beyond the origin of the right vertebral artery .Lung window shows multiple nodules in bilateral apices.The patient’s investigation revealed sputum positive tuberculosis. The patient underwent resection of the lesion with graft repair of the subclavian artery . HPE results were suggestive of granulomatous etiology.
Contributed By:
Dr. Sudha Karnan, Dr. Babu Peter MD, DNB
Barnard Institute of Radiology, Chennai