Cervical aortic arch with aortic aneurysm and retro-aortic innominate vein: A case of successful surgical repair
| Autor: | Motoharu Kawashima, Hiroshi Tanaka, Shuto Tonoki, Jun Fujisue, Shunsuke Miyahara, Yoshikatsu Nomura, Nobuhiko Mukohara, Hirohisa Murakami |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Annals of Vascular Surgery - Brief Reports and Innovations, Vol 2, Iss 3, Pp 100124- (2022) |
| Druh dokumentu: | article |
| ISSN: | 2772-6878 12136603 |
| DOI: | 10.1016/j.avsurg.2022.100124 |
| Popis: | Purpose: We report the case of a patient with a cervical aortic arch and retro-aortic innominate vein without congenital heart disease. Procedures & main findings: A 40-year-old female was referred to our hospital because of hoarseness for a few months. Computed tomography revealed a saccular aneurysm complicated by a cervical aortic arch with normal brachiocephalic branching, redundant transverse aorta, and left-sided descending aorta. The left innominate vein crossed the aneurysm beneath the aortic arch. Surgical repair was performed under hypothermic circulatory arrest through a fifth intercostal thoracotomy. The arch distal to the left common carotid artery and the proximal descending aorta were replaced with a prosthesis, and the left subclavian artery was reconstructed. The patient was discharged with a favorable postoperative course. Conclusions: Proper diagnosis and relevant surgical manipulations are required for patients with congenital aortic arch abnormalities. |
| Databáze: | Directory of Open Access Journals |
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