Document Detail

An unusual etiology of a subclavian artery aneurysm.
MedLine Citation:
PMID:  19808724     Owner:  NLM     Status:  MEDLINE    
A 22-year-old woman presented with a 3-month history of a pulsatile swelling in the right supraclavicular region. A CT angiogram revealed an aneurysm arising from the distal right subclavian artery. At surgery, the subclavian artery was almost entirely replaced by a well-vascularized tumor mass. The vascular tumor along with the native vessel was excised and replaced with a vascular prosthesis. Biopsy was suggestive of an epithelioid hemangioma (EH). In conclusion, an EH is a rare vascular tumor. The presence of vascular hyperplasia with plump endothelial cells protruding into the lumen is the most important discriminator in establishing the diagnosis of EH. Vascular neoplasms presenting as aneurysms should be considered, especially if other etiologies can be excluded.
Andrew Dheepak Selvaraj; Edwin Stephen; Shyamkumar Nidugala Keshava; Sunil Agarwal; Sanjeev Shah
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Vascular medicine (London, England)     Volume:  14     ISSN:  1358-863X     ISO Abbreviation:  Vasc Med     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-07     Completed Date:  2009-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610930     Medline TA:  Vasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  377-9     Citation Subset:  IM    
Surgery Unit 2 (Vascular Surgery), Christian Medical College, India.
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MeSH Terms
Aneurysm / etiology*,  radiography,  surgery
Blood Vessel Prosthesis Implantation
Epithelioid Cells / pathology*
Hemangioma / complications*,  pathology,  surgery
Subclavian Artery / pathology*,  radiography,  surgery
Tomography, X-Ray Computed
Vascular Neoplasms / complications*,  pathology,  surgery
Young Adult

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