Abstract
Physical examination reveals a large pulsatile mass in the supraclavicular region. 3D-CT, angiography and MRA are useful for definite diagnosis and surgical treatment. Deletion of chromosome 22q11 was recently reported in some cases of cervical aortic arch but was not evident in this case. The female predilection for aneurysm formation is consistent with a genetic factor. The pathologic finding of cystic medial degeneration in the aneurysm has been reported in a large surgical series and supports the importance of recognition and surgical intervention in this condition, whether patients are symptomatic or not. References
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