Surgical treatment of innominate artery and aortic aneurysm: a case report and review of the literature

Abstract

Innominate artery (IA) aneurysms represent 3% of all arterial aneurysms. Due to the risk of thromboembolic complications and spontaneous rupture, surgical repair is usually recommended on an early elective basis. We present the case of 81-year-old Caucasian male presenting with atypical anterior chest pain secondary to a large innominate artery aneurysm who underwent successful open surgical repair at our institution. In our experience, open correction via median sternotomy with extension into the right neck provides excellent exposure and facilitates rapid reconstruction with good short and long-term outcomes. Minimally invasive and endovascular approaches provide emerging alternatives to open IA aneurysm repair, however further research is required to better define optimal patient selection criteria and determine the long-term outcomes of these novel therapies.

A complicated case of innominate and right common arterial aneurysms due to Takayasu’s arteritis

“…), immune diseases (Kawasaki disease, Takayasu’s arteritis, Behçet disease, Marfan syndrome, etc . ), angiosarcoma, and trauma[2,5]. Wang et al[3] reviewed the literature and reported that only 8/120 (7.2%) of IAAs resulted from Takayasu’s arteritis.…”

Rupture of the Brachiocephalic Trunk in A 10 Month Old Boston Terrier Bitch at Alberton Veterinary Clinic Johannesburg: A Post-Mortem Case Report

“…It should be noted, however, that unlike the 3 year old dog in Arimura, Machida [1] case, our patient was only 10 months old, an age that does not lend this bitch to be an ideal candidate for degenerative changes associated with the former case. An equally compelling argument could be that, the degenerative changes in the arterial wall could have been associated with a distal constriction and hypertension as observed by Hawthorne and Mandal [2] and possibly aneurysm observed by Soylu, Harling [5] and Saito, Shiono [6] as a possible cause of rupture of the innominate artery in humans.…”

Debranching-first and proximal arch replacement for an innominate artery aneurysm: a case study

“…4 Today, open surgical technique, via median sternotomy, is the gold standard for aortic arch pathologies. [5][6][7] Endovascular repair and hybrid approaches gained popularity over the recent years and present a valuable option for patients who are deemed poor candidates for open surgery. 6,8 This report describes the carotis debranching-first technique and proximal arch replacement, in a patient with a huge (7.5 cm) aneurysm of the innominate artery at its origin.…”

“…[5][6][7] Endovascular repair and hybrid approaches gained popularity over the recent years and present a valuable option for patients who are deemed poor candidates for open surgery. 6,8 This report describes the carotis debranching-first technique and proximal arch replacement, in a patient with a huge (7.5 cm) aneurysm of the innominate artery at its origin. The heavily atheromatous and hostile aorta, as well as a concomitant infrarenal, abdominal aortic aneurysm (5.5cm) made the choice of optimal cannulation, perfusion, and protection strategy challenging.…”