Successful Replacement of the Dissecting Aneurysm of the Brachiocephalic Artery
10.4326/jjcvs.42.67
- VernacularTitle:解離性腕頭動脈瘤に対し腕頭動脈再建全弓部置換術を施行した1例
- Author:
Tomoyuki Suzuki
;
Toshihiro Fukui
;
Shigefumi Matsuyama
;
Minoru Tabata
;
Shuichiro Takanashi
- Publication Type:Journal Article
- Keywords:
dissecting aneurysm;
brachiocephalic artery
- From:Japanese Journal of Cardiovascular Surgery
2013;42(1):67-70
- CountryJapan
- Language:Japanese
-
Abstract:
A brachiocepharic artery aneurysm is relatively rare in comparison with other peripheral artery aneurysms. A 62-year-old woman who had had a sudden chest pain 1 year previously was referred to our hospital because of a right upper mediastinal mass on a chest roentgenogram. Computed tomography demonstrated the dissection and dilatation of the innominate artery. The dissection extended to the right carotid artery and right subclavian artery. Furthermore, the ascending aorta was dilated. We performed reconstruction of the innominate artery with a Y-shaped composite graft and replacement of the ascending aorta and total aortic arch. Her postoperative course was uneventful with no neurological event. We describe our surgical strategy in this report with a review of the literature because operative methods and plans are various according to the shape and extent of the aneurysm of the brachiocepharic artery.
