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Innominate artery aneurysm: axial reconstruction via a cervical approach.

Abstract：

:True aneurysms of the innominate artery are rare. Successful axial reconstruction in the past has required a combined cervical and transthoracic approach with placement of a prosthetic graft. We describe herein the occurrence of an innominate artery aneurysm that extended to and involved the proximal common carotid artery and subclavian artery in a 63-year-old woman. The patient presented with thomboembolic sequelae in her fingertips and had a pulseless upper extremity. Successful aneurysmectomy and axial reconstruction with a bifurcated graft was achieved by using cervical exposure alone. A subsequent staged revascularization of the upper extremity was successfully accomplished with a brachial to radial artery bypass and ulnar artery transposition.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Takach TJ,Lalka SG

doi

10.1016/j.jvs.2007.06.034

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

1267-9

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(07)01052-X

journal_volume

46

pub_type

杂志文章

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