Subclavian artery pseudoaneurysms are rare and may present decades after blunt trauma.We report a 38-year-old man presenting 22 years after clavicular fracture with a giant intrathoracic pseudoaneurysm of the proximal left subclavian artery, with the vertebral artery arising immediately distal to the lesion.Owing to limited proximal landing zone and short carotidsubclavian distance, a one-stage hybrid repair was performed, consisting of carotid-carotidsubclavian bypass and zone 1 thoracic endovascular aortic repair.The procedure achieved complete exclusion with preserved cerebral and upper limb perfusion.At 5 years, the patient remains asymptomatic without endoleak or graft-related complications.
Kanty et al. (Fri,) studied this question.