Aneurysms of the innominate artery: Surgical treatment of 27 patients

Abstract

The etiology and presentation of AIAs are variable. Surgical management with current cardiovascular techniques achieves excellent results.

Surgical Management of Aneurysms of the Aortic Arch Vessels and Their Branches: Report of Four Cases

“…The embo- lism to the upper extremities and the brain can result in ischemic symptoms, and embolization is possible, even from small aneurysms associated with mural thrombus. [6][7][8] Nonetheless, IAA often presents as an asymptomatic superior mediastinal mass on a routine chest X-ray. 8 Physical examination revealed pulsatile masses in two of our patients (one in the supraclavicular space and the other in the neck), and a systolic bruit in another patient.…”

“…When there is no involvement of the origin of the IA, it is possible to perform distal revascularization through bypass grafting from the ascending aorta with exclusion of the aneurysm by ligating its origin. 7 However, if the aneurysm involves the origin of the IA, treatment requires aortic manipulation. Cerebral injury following surgical repair of aortic arch vessel aneurysms is one of the most devastating complications.…”

Endovascular treatment of innominate artery pseudoaneurysm

“…There have been reported cases of acute respiratory distress from tracheal compression secondary to an aortic aneurysm and other conditions, such as vascular rings. There have also been some cases related to innominate artery dilatation, 12 and cases in which massive tracheal necrosis has occurred. 13 However cases of a slowly progressive exertional respiratory distress resulting from a pseudoaneurysm of the innominate artery have rarely been reported.…”

Aneurisma luético de arco aórtico roto, complicado pela oclusão de vasos braquiocefálicos e acidente vascular encefálico isquêmico: relato de caso tratado cirurgicamente

“…A insuficiência valvar aórtica é geralmente secundária à dilatação anular causada pelo aneurisma aórtico, não sendo freqüente o comprometimento direto das válvulas pela doença (8) . Outras formas mais raras de comprometimento cardiovascular da doença são: os aneurismas do seio de Valsalva, dos vasos braquiocefálicos, das artérias coronárias, a dissecção aórtica e a fístula aorto-pulmonar (9)(10)(11)(12)(13)(14)(15)(16)(17)(18) . O caso relatado apresentava um aneurisma exclusivo do arco aórtico, sem sinais inflamatórios evidentes ou calcificação macroscópica dos demais segmentos da aorta, apesar da positividade dos achados anatomopatológicos nestas porções.…”