Eur J Cardiothorac Surg 2006;30:557-558
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Giant atherosclerotic aneurysm of left internal mammary artery
Andrea Dell’Amorea,*,
Stefano Sannab,
Luca Bottaa,
Davide Dell’Amoreb
a Department of Thoracic Surgery, Morgagni Hospital, Forlì, Italy
b Department of Cardiac Surgery, S.Orsola-Malpighi Hospital, University of Bologna, Italy
Received 25 April 2006;
received in revised form 30 May 2006;
accepted 31 May 2006.
* Corresponding author. Address: Via Battuti Verdi n. 1, 47100 Forlì, FC, Italy. Tel.: +39 03356223366; fax: +39 0516364751. (Email: dellamore76{at}libero.it).
Key Words: Aneurysm • Left internal mammary artery • Mediastinum • Atherosclerosis
An 82-year-old female was admitted for syncope. A large left-sided mediastinal mass was seen at chest X-ray and CT-scan (Fig. 1
), left internal mammary artery (LIMA) aneurysm was confirmed by angiography (Fig. 2A). Interventional approach was attempted without success for kinking and small diameter of the LIMA peduncle. Patient underwent aneurysmectomy through median sternotomy (Fig. 2B). Post-operative period was uneventful.
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Fig. 1. Chest X-ray showing a blurred opacity in the left antero-superior mediastinum. The CT-scan confirmed an aneurysm formation from the left internal mammary artery (7 cm x 5 cm of diameter) extending in the left antero-superior chest with displacement of the innominate vein and compression of the lung parenchyma.
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Fig. 2. (A) The selective angiography confirm the diagnosis of LIMA aneurysm, the black arrow shows the first not involved part of the LIMA and the white arrow shows the store of contrast in the aneurysm. (B) Operative specimen removed after the operation.
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