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Review
. 2013 Jun 1:8:141.
doi: 10.1186/1749-8090-8-141.

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

Erdinc Soylu  1 , Leanne Harling, Hutan Ashrafian, Vania Anagnostakou, Dimitris Tassopoulos, Christos Charitos, John Kokotsakis, Thanos Athanasiou
Affiliations
Review

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

Erdinc Soylu et al. J Cardiothorac Surg. .

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.

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Figures

Figure 1
Figure 1
(a) Intra-operative finding of a large IA aneurysm extending into the aortic arch (b) Pre-operative 3D CT reconstruction of the aneurysmal segment.
Figure 2
Figure 2
Schematic demonstrating pre-operative anatomy and surgical repair.
Figure 3
Figure 3
Post operative images demonstrating (a) Final open surgical repair (b) 3D CT reconstruction demonstrating in situ graft reconstruction.
See this image and copyright information in PMC

References

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