Successful Replacement of the Dissecting Aneurysm of the Brachiocephalic Artery

(Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu, Tokyo, Japan)

Tomoyuki Suzuki Toshihiro Fukui Shigefumi Matsuyama
Minoru Tabata Shuichiro Takanashi
A brachiocepharic artery aneurysm is relatively rare in comparison with other peripheral artery aneurysms. A 62-year-old woman who had had a sudden chest pain 1 year previously was referred to our hospital because of a right upper mediastinal mass on a chest roentgenogram. Computed tomography demonstrated the dissection and dilatation of the innominate artery. The dissection extended to the right carotid artery and right subclavian artery. Furthermore, the ascending aorta was dilated. We performed reconstruction of the innominate artery with a Y-shaped composite graft and replacement of the ascending aorta and total aortic arch. Her postoperative course was uneventful with no neurological event. We describe our surgical strategy in this report with a review of the literature because operative methods and plans are various according to the shape and extent of the aneurysm of the brachiocepharic artery.
  Jpn. J. Cardiovasc. Surg. 42:67-70(2013)

Keywords:dissecting aneurysm, brachiocephalic artery