Hybrid repair of an innominate artery pseudoaneurysm after blunt traumatic injury in a bovine arch.

Publication Title

J Vasc Surg Cases Innov Tech

Document Type

Article

Publication Date

12-1-2023

Keywords

oregon; portland; cards; cards publication

Abstract

Innominate artery injury is an uncommon consequence of blunt trauma to the neck due to its protected position behind the thorax. A 38-year-old male presented as a trauma with a right-sided pseudoaneurysm emanating from the distal innominate artery after falling from a three-story building. On imaging, he also had a bovine arch. He underwent hybrid repair with covered stent placement from the common carotid into the innominate artery, carotid-subclavian bypass, and plugging of the subclavian artery. The patient recovered with no cerebral insult, neurological deficits, or rupture. Post-traumatic innominate artery pseudoaneurysms can successfully be repaired via a hybrid surgical approach.

Clinical Institute

Cardiovascular (Heart)

Clinical Institute

Neurosciences (Brain & Spine)

Specialty

Critical Care Medicine

Specialty

Neurosciences

Specialty

Cardiology

DOI

10.1016/j.jvscit.2023.101225

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