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

Ivn Constenla, Beatriz Alvarez, Xavier Yugueros, Elisabeth Fernandez, Ramon Bofill, Manel Matas

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)

Abstract

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. © 2012 Society for Vascular Surgery.
Original languageEnglish
Pages (from-to)822-825
JournalJournal of Vascular Surgery
Volume56
Issue number3
DOIs
Publication statusPublished - 1 Sep 2012

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