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Aneurysm of Right Subclavian Artery with Active Tuberculosis - A Complex Management Approach

Sasikumar S, Ilayakumar Paramasivam, Dev .

Abstract


Upper extremity aneurysms are quite uncommon when compared to other peripheral arterial aneurysms. Among them saccular aneurysms are extremely rare. We report a case of mycotic saccular aneurysm in a patient with active tuberculosis with an updated review of literature. Our case is unique in view of surgical exposure method used (sternotomy with claviculectomy) and infective in etiology. The most common causes of subclavian artery aneurysm are atherosclerosis, trauma and post-stenotic dilated aneurysm secondary to thoracic outlet syndrome, besides, the rare causes include infective etiology. Our patient had active       spinal tuberculosis, which was treated prior to surgery. The patient was discharged 14 days later and continued          antiplatelet therapy after discharge

Keywords:  saccular  aneurysm; mycotic aneurysm,  tuberculosis, sternotomy

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