Case Report
Volume 9 Issue 3 - 2022
Use of Circulatory Arrest to Treat A Large Aneurysm of the Innominate Artery
Bouksim Y1*, Rahal I1, Farahi K1, Allam A2, Adaoui A1, Lyazidi S1 and Ettaoumi Y1
1Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco
2Department of Anesthesiology and Reanimation, Ibn Rochd University Hospital Center, Casablanca Morocco
*Corresponding Author: Bouksim Y, Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco.
Received: May 05, 2022; Published: April 27, 2022




Abstract

The aneurysm of the innominate artery (AIA) is a rare entity. It represents only 3% of all aneurysms of the arteries of the body and also represents 3% of aneurysms of the supra aortic arteries. We report a case of 65 year-old man, concerning the cardiovascular risk factors we enumerate age, male gender, active smoking and arterial hypertension. He was admitted in our department for the management of a large pulsatile mass on the right side of the neck with intermittent headache. The computed tomography (CT) angiography showed the presence of an aneurysmal dilatation of the innominate artery (type B) measuring 42 mm, with a large fresh hematoma which comes from the aneurysm and extending to the right cervical region. However the aortography objected an anevrysmal dilatation of the IA which includes even its base. In this case we used the cardiopulmonary bypass with deep hypothermia before sternotomy and right cervical approach. The surgical repair consisted to close the defect above the aortic arch by prosthetic patch after the resection of the AIA under circulatory arrest with deep hypothermia and establishing bypass using a graft between the prosthetic patch and de distal segment of the IA under side clamping.

Keywords: Innominate Artery; Aneurysm; Surgery; Endovascular

References

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Citation: Bouksim Y., et al. “Use of Circulatory Arrest to Treat A Large Aneurysm of the Innominate Artery”. EC Cardiology 9.3 (2022): 27-34.

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