Innominate artery aneurysm with hemoptysis and airway

J. Vasc. Surg. · Sep 2012

Case Reports

Innominate artery aneurysm with hemoptysis and airway compression in a patient with bovine aortic arch.

We present the case of a 63-year-old man with a bovine aortic arch variation, who presented episodes of mild hemoptysis secondary to a 4.5-cm (diameter) aneurysm of the innominate artery that compressed the trachea and obliterated the right subclavian artery. Surgery, performed through a median sternotomy, consisted of a bypass from the ascending aorta to both common carotid arteries using a Dacron graft, and exclusion of the aneurysm by ligature and direct thrombin injection. Computed tomography angiography at 30 days showed a patent bypass, successful aneurysm exclusion, and improvement of the tracheal compression. The patient is currently asymptomatic at 12 months following the procedure.

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- Iván Constenla, Beatriz Alvarez, Xavier Yugueros, Elisabeth Fernandez, Ramon Bofill, and Manel Matas.
- Section of Vascular and Endovascular Surgery, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain. ionstenla@yahoo.es
- J. Vasc. Surg. 2012 Sep 1; 56 (3): 822-5.
AbstractWe present the case of a 63-year-old man with a bovine aortic arch variation, who presented episodes of mild hemoptysis secondary to a 4.5-cm (diameter) aneurysm of the innominate artery that compressed the trachea and obliterated the right subclavian artery. Surgery, performed through a median sternotomy, consisted of a bypass from the ascending aorta to both common carotid arteries using a Dacron graft, and exclusion of the aneurysm by ligature and direct thrombin injection. Computed tomography angiography at 30 days showed a patent bypass, successful aneurysm exclusion, and improvement of the tracheal compression. The patient is currently asymptomatic at 12 months following the procedure.Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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Innominate artery aneurysm with hemoptysis and airway compression in a patient with bovine aortic arch.

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