Hybrid repair of an innominate artery pseudoaneurysm after blunt traumatic injury in a bovine arch

Keyuree Satam; Sabina Sorondo; Michael Paisley; Venita Chandra

doi:10.1016/j.jvscit.2023.101225

Hybrid repair of an innominate artery pseudoaneurysm after blunt traumatic injury in a bovine arch

J Vasc Surg Cases Innov Tech. 2023 May 23;9(4):101225. doi: 10.1016/j.jvscit.2023.101225. eCollection 2023 Dec.

Authors

Keyuree Satam¹, Sabina Sorondo², Michael Paisley³, Venita Chandra²

Affiliations

¹ Yale School of Medicine, New Haven, CT.
² Division of Vascular Surgery, Stanford University Medical Center, Stanford, CA.
³ Providence Heart Institute, Portland, OR.

Abstract

Innominate artery injury is an uncommon consequence of blunt trauma to the neck due to its protected position behind the thorax. A 38-year-old male presented as a trauma with a right-sided pseudoaneurysm emanating from the distal innominate artery after falling from a three-story building. On imaging, he also had a bovine arch. He underwent hybrid repair with covered stent placement from the common carotid into the innominate artery, carotid-subclavian bypass, and plugging of the subclavian artery. The patient recovered with no cerebral insult, neurological deficits, or rupture. Post-traumatic innominate artery pseudoaneurysms can successfully be repaired via a hybrid surgical approach.

Keywords: Amplatzer plug; Blunt traumatic injury; Hybrid surgery; Innominate artery; Pseudoaneurysm; Stent.

Publication types

Case Reports