Giant pseudoaneurysm of the innominate artery late after surgical repair of type-A aortic dissection

Andrea Daprati, Andrea Garatti, Alberto Canziani, Eugenio Mossuto, Giovanni Nano

Research output: Contribution to journalArticlepeer-review

Abstract

A 49-year-old man was admitted to our department 6 months after emergent surgery for type-A acute aortic dissection. A chest computed tomography-scan revealed a huge aneurysm originating from the proximal aortic arch, strongly adherent to the upper part of the sternum. Extracorporeal circulation was instituted first, and chest was reopened in circulatory arrest. The mass was a giant pseudoaneurysm originating from a laceration at the base of the innominate artery. Due to tissue fragility and complete distortion of the origin of right carotid and subclavian arteries, we performed an extra-anatomic ascending aorta-to-right carotid artery bypass, followed by Teflon-reinforced suture of the proximal artery stumps. The postoperative course was uneventful.

Original languageEnglish
Pages (from-to)1631-1633
Number of pages3
JournalJournal of Cardiac Surgery
Volume35
Issue number7
DOIs
Publication statusPublished - Jul 2020

Keywords

  • Aneurysm, Dissecting/surgery
  • Aneurysm, False/diagnostic imaging
  • Aorta, Thoracic/diagnostic imaging
  • Aortic Aneurysm/surgery
  • Brachiocephalic Trunk/diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications/diagnostic imaging
  • Radiography, Thoracic
  • Suture Techniques
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Surgical Procedures/methods

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