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Giant pseudoaneurysm of the innominate artery late after surgical repair of type‐A aortic dissection
Author(s) -
Daprati Andrea,
Garatti Andrea,
Canziani Alberto,
Mossuto Eugenio,
Nano Giovanni
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14612
Subject(s) - medicine , ascending aorta , pseudoaneurysm , dissection (medical) , sternum , surgery , extracorporeal circulation , aortic arch , aneurysm , aorta , aortography , bentall procedure , aortic dissection , radiology
A 49‐year‐old man was admitted to our department 6 months after emergent surgery for type‐A acute aortic dissection. A chest computed tomography‐scan revealed a huge aneurysm originating from the proximal aortic arch, strongly adherent to the upper part of the sternum. Extracorporeal circulation was instituted first, and chest was reopened in circulatory arrest. The mass was a giant pseudoaneurysm originating from a laceration at the base of the innominate artery. Due to tissue fragility and complete distortion of the origin of right carotid and subclavian arteries, we performed an extra‐anatomic ascending aorta‐to‐right carotid artery bypass, followed by Teflon‐reinforced suture of the proximal artery stumps. The postoperative course was uneventful.