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- Thomas J Takach and Stephen G Lalka.
- Department of Cardiothoracic and Vascular Surgery, Carolinas Heart Institute, Carolinas Health Care System, Charlotte, NC 28203, USA. tjtakach@netscape.net
- J. Vasc. Surg. 2007 Dec 1; 46 (6): 1267-9.
AbstractTrue aneurysms of the innominate artery are rare. Successful axial reconstruction in the past has required a combined cervical and transthoracic approach with placement of a prosthetic graft. We describe herein the occurrence of an innominate artery aneurysm that extended to and involved the proximal common carotid artery and subclavian artery in a 63-year-old woman. The patient presented with thomboembolic sequelae in her fingertips and had a pulseless upper extremity. Successful aneurysmectomy and axial reconstruction with a bifurcated graft was achieved by using cervical exposure alone. A subsequent staged revascularization of the upper extremity was successfully accomplished with a brachial to radial artery bypass and ulnar artery transposition.
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