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Our incision types of choice for surgical treatment of true aneurysms of subclavian and axillary arteries


Subclavian and axillary arteries true aneurysms are rarely seen. The best incision for surgical approach is median sternotomy for intrathoracic right subclavian artery aneurysm, left thoracotomy for intrathoracic left subclavian artery aneurysm and supraclavicular incision for extrathoracic ones. Many surgeons approaches as subclavicular incision, subclavicular incision extending to axillary incision, anterolateral incision and posterolateral incision are also commonly used.


Eight patients that were operated on between February 1998 and December 2007 due to true aneurysms of the subclavian and axillary arteries were examined. Two of these patients had subclavian and 6 of them had axillary artery aneurysms.


We used subclavicular incision in one and supraclavicular incision in the other patient for operating the subclavian artery aneurysm. But median sternotomy was added to the supraclavicular incision in the second operation of the patient who developed pseudoaneurysm after the first operation with a single supraclavicular incision. In axillary artery aneurysms, however, infraclavicular, deltoidopectoral and subpectoral incisions are generally used. In our study, subclavicular approach was used.


Subclavian and axillary artery aneurysms should be promptly treated surgically after diagnosis. The localization of the aneurysm is the primary determinant of the incision.

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Correspondence to U Yetkin.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated.

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Gokalp, O., Yurekli, I., Yilik, L. et al. Our incision types of choice for surgical treatment of true aneurysms of subclavian and axillary arteries. J Cardiothorac Surg 8 (Suppl 1), P49 (2013).

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