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J Thorac Cardiovasc Surg 2006;132:1478-1479
© 2006 The American Association for Thoracic Surgery

Brief Communication

Giant aneurysm of an aberrant right subclavian artery from the left aortic arch

^a Department of Internal Medicine, Angiology Division, University Hospital, Zurich, Switzerland
^b Department of Cardiovascular Surgery, University Hospital, Zurich, Switzerland
^c Department of Diagnostic Radiology, University Hospital, Zurich, Switzerland.

Received for publication July 20, 2006; accepted for publication August 8, 2006.

^_* Address for reprints: R. Simon, MD, Angiology Division, Ramistrasse 100, CH-8091 Zürich, Switzerland. (Email: roger.simon@usz.ch).

The first 20% of the full text of this article appears below.

An aneurysm of an aberrant right subclavian artery (ARSA) arising from the left aortic arch is a fairly uncommon abnormality of the aortic arch. We report a case of ARSA aneurysm discovered by chance when a routine chest radiograph was taken by the practitioner.

Clincial Summary

A 78-year-old man presented to his practitioner for a routine checkup. His cardiovascular risk factors included hypertension, hypercholesterolemia, and a smoking history of 50 pack-years. He had a 5-year history of coronary artery disease and had received a dual-chamber pacemaker because of sick sinus syndrome. Two years earlier, an abdominal aortic aneurysm was repaired with a Y-graft. Blood pressure was the same on the left and right sides and only a very faint pulse could be found over the right supraclavicular site. Chest x-ray films were compared with those taken 4 years earlier (Figure 1, A). The new x-ray films showed a mass in the upper . . . [Full Text of this Article]

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