Abstract
A 59-year-old man presented with back pain that lasted 2 h. Computed tomography revealed acute type A dissection. Emergent total aortic arch replacement was performed on the same day. In 2 weeks later, CT angiography (CTA) showed the aneurysm of his innominate artery. Endovascular repair using covered stent by transbrachial artery approach was successfully performed. CTA at 8 months showed that pseudoaneurysm was excluded. The patient had no symptoms and no other complications were seen. Percutaneous endovascular therapy can be applied for high-risk patient of suprathoracic open surgery.
This is a preview of subscription content, log in via an institution to check access.
References
Schönholz CJ, Uflacker R, De Gregorio MA, Parodi JC. Stent-graft treatment of trauma to the supra-aortic arteries. A review. J Cardiovasc Surg. 2007;48:537–49.
Veraldi GF, Furlan F, Tasselli S, Tomasi I, Firpo M. Endovascular repair of intrathoracic left subclavian artery aneurysm with stent grafts: report of a case and review of the literature. Chir Ital. 2005;57:355–9.
Chambers CM, Curci JA. Treatment of nonaortic aneurysms in the endograft era: aneurysms of the innominate and subclavian arteries. Semin Vasc Surg. 2005;18:184–90.
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.
Carrel T, Pasic M, Jenni R, Tkebuchava T, Turina MI. Reoperations after operation on the thoracic aorta: etiology, surgical techniques, and prevention. Ann Thorac Surg. 1993;56:259–68.
Siminelakis S, Baikoussis NG, Arnaoutoglou EM, Papadopoulos G, Goudevenos J. Aortic false aneurysm at the distal anastomotic suture line after aortic arch replacement; a case report with review of the literature. Eur Rev Med Pharmacol Sci. 2012;16:835–8.
Strauch JT, Spielvogel D, Lansman SL, Lauten AL, Bodian C, Griepp RB. Long-term integrity of teflon felt-supported suture lines in aortic surgery. Ann Thorac Surg. 2005;79:796–800.
Axisa BM, Loftus IM, Fishwick G, Spyt T, Bell PR. Endovascular repair of an innominate artery false aneurysm following blunt trauma. J Endovasc Ther. 2000;7:245–50.
Puech-Leão P, Orra HA. Endovascular repair of an innominate artery true aneurysm. J Endovasc Ther. 2001;8:429–32.
Ahmed I, Katsanos K, Ahmad F, Dourado R, Lyons O, Reidy J. Endovascular treatment of a brachiocephalic artery pseudoaneurysm secondary to biopsy at mediastinoscopy. J Cardiovasc Interv Radiol. 2009;32:792–5.
de Troia A, Tecchio T, Azzarone M, Biasi L, Piazza P, Franco Salcuni P. Endovascular treatment of an innominate artery iatrogenic pseudoaneurysm following subclavian vein catheterization. Vasc Endovascular Surg. 2011;45:78–82.
Angiletta D, Marinazzo D, Guido G, Fullone M, Pulli R, Regina G. Eight-year follow-up of endovascular repair of a brachiocephalic trunk aneurysm due to Takayasu’s arteritis. J Vasc Surg. 2012;56:504–7.
Ito T, Kurimoto Y, Kawaharada N, Koyanagi T, Hashiguchi H, Yamashita A, et al. Endovascular stent-grafting of anastomotic pseudoaneurysms following thoracic aortic surgery. Gen Thorac Cardiovasc Surg. 2009;57:528–33.
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.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Fukuda, K., Yokoi, Y. Covered stent implantation for anastomotic pseudoaneurysm of innominate artery post total aortic arch replacement. Cardiovasc Interv and Ther 29, 372–375 (2014). https://doi.org/10.1007/s12928-014-0246-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12928-014-0246-8