Aneurysmal AABVs tend to have a benign natural history with slow growth rates and low rates of complications, including rupture and embolization. We recommend expectant observational management for small, incidentally detected aneurysms.
Aneurysmal AABVs tend to have a benign natural history with slow growth rates and low rates of complications, including rupture and embolization. We recommend expectant observational management for small, incidentally detected aneurysms.
“…Kieffer et al 6 reported that patients with isolated asymptomatic inominate artery aneurysms should undergo surgery when the aneurysms are saccular or when their maximum transverse diameter is more than 3 cm. Various surgical approaches have been tried and include ligation alone, 7 patch angioplasty, 8 resection with end‐to‐end anastomosis, 9 and bypass with either saphenous vein 10 or prosthetic grafts.…”
Coexistent aneurysms of the coronary and inominate arteries are extremely rare. We present the case of a 28-year-old male with an aneurysm of the left anterior descending coronary artery and an aneurysm of the inominate artery presenting with hoarseness and severely depressed left ventricular function (ejection fraction of 25%). He underwent successful surgical resection of both aneurysms. The inominate artery aneurysm was excised and the brachiocephalic trunk was reconstructed off-pump. The coronary artery aneurysm was excised and distal aorto-coronary bypass grafting was done on cardiopulmonary bypass.
“…Repairs of these lesions has usually been performed via a thoracotomy and has been associated with significant morbidity. Conventional surgical management has been done with bypass grafting through a thoracotomy with various types of open techniques, including atrial femoral pump perfusion [3,8]. Cerebral protection to prevent cerebral emboli is an important part of the management of innominate artery aneurysms.…”
Section: Discussionmentioning
confidence: 99%
“…Cerebral protection to prevent cerebral emboli is an important part of the management of innominate artery aneurysms. There are multiple sophisticated mechanical methods that have been described in the literature but they have not been found to be always reliable [8][9][10]. Traumatic innominate artery false aneurysms have been repaired by using combined open and endovascular procedures [11][12][13].…”
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