M. Witz et al., SUBCLAVIAN ARTERY ANEURYSMS - A REPORT OF 2 CASES AND A REVIEW OF THELITERATURE, Journal of Cardiovascular Surgery, 39(4), 1998, pp. 429-432
True aneurysm of the subclavian artery is extremely rare and atheroscl
erosis is the most common cause. Syphilis, tuberculosis, and cystic me
dial necrosis are less often the cause. Their exact prevalence in the
general population is unknown. These aneurysms can rupture, thrombose,
embolize or cause symptoms by local compression. in reviewing the lit
erature the great latency of the disease, high complication rate at pr
esentation and the significant incidence, concominant aneurysms elsewh
ere are emphasized. Duplex scanning followed by angiography should be
performed in order to establish the diagnosis and to plan the operatio
n. Elective surgical treatment is associated with little risk to the p
atient and avoids the need for emergency operations. Two cases of surg
ically treated true subclavian aneurysms are presented with review of
the English language literature on the subject.