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Large post-stenting innominate artery pseudoaneurysm

a Division of Vascular Surgery, University of Turin, Italy b Division of Cardiac Surgery, University of Turin, Ospedale San Giovanni Battista, corso Bramante 88/90 – 10126 Torino, Italy *Corresponding author. Tel.: +39 11 6335511; fax: +39 11 6336130. E-mail address : federico.savia{at}tele2.it (F.M...

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Published in:Interactive cardiovascular and thoracic surgery 2008-06, Vol.7 (3), p.444-446
Main Authors: Rispoli, Pietro, Varetto, Gianfranco, Savia, Federico Maria, Rinaldi, Mauro
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creator Rispoli, Pietro
Varetto, Gianfranco
Savia, Federico Maria
Rinaldi, Mauro
description a Division of Vascular Surgery, University of Turin, Italy b Division of Cardiac Surgery, University of Turin, Ospedale San Giovanni Battista, corso Bramante 88/90 – 10126 Torino, Italy *Corresponding author. Tel.: +39 11 6335511; fax: +39 11 6336130. E-mail address : federico.savia{at}tele2.it (F.M. Savia). Pseudoaneurysms of the sovra-aortic trunks are uncommon lesions that usually have a post-traumatic etiology. The singular case of a patient who developed an innominate artery pseudoaneurysm (IAP) where a stent had been inserted 12 years earlier to manage severe innominate trunk stenosis is described. A chronic and large (8 cm in diameter) IAP was successfully treated in extracorporeal circulation and deep hypothermic circulatory arrest. The distal tract of the ascending aorta and the proximal aortic arch were substituted; total replacement of the innominate trunk with a singular 8-mm Dacron graft was necessary. We reviewed the literature about the reports of IAPs and the management of this singular lesion. Key Words: Pseudoaneurysm; Innominate artery; Stenting
doi_str_mv 10.1510/icvts.2007.168930
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Tel.: +39 11 6335511; fax: +39 11 6336130. E-mail address : federico.savia{at}tele2.it (F.M. Savia). Pseudoaneurysms of the sovra-aortic trunks are uncommon lesions that usually have a post-traumatic etiology. The singular case of a patient who developed an innominate artery pseudoaneurysm (IAP) where a stent had been inserted 12 years earlier to manage severe innominate trunk stenosis is described. A chronic and large (8 cm in diameter) IAP was successfully treated in extracorporeal circulation and deep hypothermic circulatory arrest. The distal tract of the ascending aorta and the proximal aortic arch were substituted; total replacement of the innominate trunk with a singular 8-mm Dacron graft was necessary. We reviewed the literature about the reports of IAPs and the management of this singular lesion. 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subjects Aged
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - surgery
Angioplasty - adverse effects
Angioplasty - instrumentation
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - etiology
Aortic Aneurysm, Thoracic - surgery
Aortography
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Brachiocephalic Trunk - diagnostic imaging
Brachiocephalic Trunk - surgery
Cardiopulmonary Bypass
Circulatory Arrest, Deep Hypothermia Induced
Humans
Male
Polyethylene Terephthalates
Prosthesis Design
Stents
Tomography, X-Ray Computed
Treatment Outcome
Vertebrobasilar Insufficiency - surgery
title Large post-stenting innominate artery pseudoaneurysm
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