Abstract
Subclavian artery aneurysm (SAA) only occurs in approximately 0.1% of all atherosclerosis aneurysms. Spontaneous rupture of subclavian artery is an extremely rare phenomenon which can lead to mediastinal hematoma and subsequent cardiac death from multiple complications. Proximal and mid clavicular SAAs have higher incidence of rupture. Thrombo-embolic phenomenon is mostly correlated with distal SAA, but it also occurs in <9% of proximal SAA as well. Therapeutic options of SAA repair are open surgical repair or endovascular treatment. We present a case of spontaneous rupture of subclavian artery aneurysm rupture leading to mediastinal hematoma with hypovolemic shock and death.
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