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Case Reports
. 2021 Feb;69(2):367-370.
doi: 10.1007/s11748-020-01472-6. Epub 2020 Aug 30.

Diagnostic dilemma in spontaneous innominate artery pathology: a case report

Christophoros Kotoulas  1 , Charalampos Georgiou  2 , Elefterios Chouliaras  3 , Nikolaos Theodosiadis  2 , Sotirios Kotoulas  4 , Athanassios Kotoulas  4 , Ioannis Panagiotou  2
Affiliations
Case Reports

Diagnostic dilemma in spontaneous innominate artery pathology: a case report

Christophoros Kotoulas et al. Gen Thorac Cardiovasc Surg. 2021 Feb.

Abstract

We report the case of a 71-year-old female who presented with sudden onset of right cervical pain and ipsilateral arm hypoaesthesia. The diagnostic evaluation revealed a pathology of the origin of the innominate artery (IA). The differential diagnosis was among a spontaneous acute dissection and a ruptured pseudoaneurysm. The dilemma of the proper treatment emerged. Surgical or medical treatment? Open or endovascular approach? The patient was offered an open treatment under cardiopulmonary bypass and sort circulatory arrest. As less than ten cases of isolated IA dissection have been previously reported in the literature, we discuss the differential diagnosis difficulties and the treatment options.

Keywords: Aortography; Computed tomography aortography; Dissection; Innominate artery; Surgery.

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