title: Surgical treatment for intrathoracic aneurysm of the innominate artery in an 83-year-old asymptomatic woman.
abstract: Aneurysm of the innominate artery is uncommon compared with other peripheral aneurysms, and holds the potential for rupture, embolization, or thrombosis as well as various complications caused by compression to the adjacent structures. The most effective treatment for this condition is surgical resection, but the earlier reports described high mortality rates. We report the case of an 83-year-old asymptomatic woman with an aneurysm in the innominate artery, which was successfully resected and repaired with the use of modern surgical techniques of hypothermic circulatory arrest and selective cerebral perfusion. Aggressive surgical intervention should be employed despite the fact that a patients is asymptomatic.
authors.affiliation: Department of Cardiovascular Surgery, Japanese Red Cross Society Wakayama Medical Center, 4-20 Komatsubaradouri, Wakayama 640-8558, Japan.
authors.forename: Kiyoaki
authors.initials: K
authors.lastname: Takaba
authors.forename: Masaki
authors.initials: M
authors.lastname: Aota
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Koike
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Konishi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002560:Cerebrovascular Circulation; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D010477:Perfusion / Q000379:methods; D016896:Treatment Outcome