Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Surgical Management of an Isolated Huge Innominate Artery Aneurysm Causing Tracheal Compression: A Case Report

  • Young Kwang, Hong (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital) ;
  • Won Ho, Chang (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital) ;
  • Hong Chul, Oh (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital) ;
  • Young Woo, Park (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital)
  • Received : 2022.02.07
  • Accepted : 2022.06.24
  • Published : 2022.12.05
Download PDF
⟨ Previous Next ⟩

Abstract

The innominate artery is an uncommon site for an aneurysm, and tracheal compression caused by an innominate artery aneurysm is a very rare occurrence. An innominate artery aneurysm can cause catastrophic complications, such as rupture or thromboembolism. The most common surgical approach for open repair is median sternotomy with cardiopulmonary bypass, but cerebral ischemic injury and thromboembolism can occur during surgery. We present the case of a male patient who had an isolated giant innominate artery aneurysm causing tracheal compression, which was successfully managed by surgical repair.

Keywords

References

  1. Schumacher PD, Wright CB. Management of of arteriosclerotic aneurysm of the innominate artery. Surgery 1979;85:489-95.
  2. De Maria E, Olaru A, Cappelli S. Isolated innominate artery aneurysm: a very rare finding. Austin J Clin Case Rep 2014;1:3.
  3. Kieffer E, Chiche L, Koskas F, Bahnini A. Aneurysms of the innominate artery: surgical treatment of 27 patients. J Vasc Surg 2001;34: 222-8. https://doi.org/10.1067/mva.2001.115807
  4. Brewster DC, Moncure AC, Darling RC, Ambrosino JJ, Abbott WM. Innominate artery lesions: problems encountered and lessons learned. J Vasc Surg 1985;2:99-112. https://doi.org/10.1067/mva.1985.avs0020099
  5. Villegas-Cabello O, Cooley DA. Aneurysm of the innominate artery with aberrant origin of the left carotid artery: case report. Tex Heart Inst J 1996;23:298-300.
  6. Regina G, Greco L, Fullone M, Testini M, Caruso G, Rizzi R. The emergency treatment of aneurysms of the supra-aortic trunks and of the internal carotid. Ann Ital Chir 2000;71:469-73.
  7. Bower TC, Pairolero PC, Hallett JW Jr, Toomey BJ, Gloviczki P, Cherry KJ Jr. Brachiocephalic aneurysm: the case for early recognition and repair. Ann Vasc Surg 1991;5:125-32. https://doi.org/10.1007/BF02016744
  8. Jeon BH, Lee CH, Bae CH, Jang JS, Cho JW. Surgical treatment of an innominate artery aneurysm using near-infrared spectroscopy for cerebral monitoring: a case report. J Chest Surg 2021;54:517-20. https://doi.org/10.5090/jcs.21.028
  9. Soylu E, Harling L, Ashrafian H, et al. Surgical treatment of innominate artery and aortic aneurysm: a case report and review of the literature. J Cardiothorac Surg 2013;8:141. https://doi.org/10.1186/1749-8090-8-141