Eur J Cardiothorac Surg 2006;30:937
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
A suprasternal false aneurysm caused by posttraumatic innominate artery rupture after dissection type A repair
Michal Semrada,*,
Tomas Urbana,
Jan Tosovskya,
Jan Kunstyrb
a Department of Cardiovascular Surgery, 1st Medical Faculty, Charles University, Prague, Czech Republic
b Department of Anaesthesiology & Intensive Care Medicine, 1st Medical Faculty, Charles University, Prague, Czech Republic
Received 20 March 2006;
received in revised form 6 September 2006;
accepted 6 September 2006.
* Corresponding author. Address: Department of Cardiovascular Surgery, 1st Medical Faculty, Charles University General Teaching Hospital, 2 U Nemocnice Street, Prague 12808 CZ, Czech Republic. Tel.: +420 2 24962781; fax: +420 2 24922695. (Email: semradvfn{at}hotmail.com).
Key Words: Innominate artery • Suprasternal false aneurysm
The patient underwent cardiopulmonary bypass, femoral vein and axillary artery cannulation, and cooling to 18 °C. Circulation was arrested and unilateral cerebral perfusion via the right carotid artery under transcranial Doppler monitoring was performed. The aneurysm (Fig. 1
) was entered, and the suture tear between the innominate artery and graft (Fig. 2
) was patch closed.
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Fig. 1. A 61-year-old patient presented with a 14-day-old upper sternum trauma and a suprasternal aneurysm. The ascending aorta and arch had been replaced 1 year ago as a result of acute aortic type A dissection repair.
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Fig. 2. (A) A transverse CT scan showing a pseudoaneurysmal formation arising from the ascending aorta and subcutaneously passing through the broken sternum. (B) A lateral CT scan showing the neck of the pseudoaneurysm below the origin of the innominate artery.
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