A giant right subclavian- axillary artery aneurysm presenting as brachial plexopathy

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Vol: 12, Issue: 1, Page: 31-33

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Hafeez,, Mahnoor; Ahmed Khan, Ateeque
Subclavian- Axillary artery aneurysm; SAA; Computed Tomography; brachial plexopathy; NCS.; Neurology
case description
We present a rare case of 60 years old lady with diabetes and uncontrolled systemic hypertension, who was referred to the Surgical Department of Civil Hospital Karachi in September 2016 with rapidly progressive mass at right shoulder region and acute onset of ipsilateral limb sensory and motor deficit for last 3 weeks. The nerve conduction studies (NCS) revealed right brachial plexopathy. Computed Tomography demonstrated an 8.2x8.7cm (width x length) fusiform giant aneurysm of right subclavian-axillary artery with reactive axillary lymphadenitis. Early Aneurysmectomy and arterial reconstruction with saphenous vein graft interposition was planned. Unfortunately, she succumbed to death due to spontaneous aneurysm rupture. Aneurysms of the subclavian- axillary artery are rare in the clinical setting, accounting for less than 1% of all peripheral arterial aneurysms.