title: Surgical treatment of innominate artery and aortic aneurysm: a case report and review of the literature.
abstract: Innominate artery (IA) aneurysms represent 3% of all arterial aneurysms. Due to the risk of thromboembolic complications and spontaneous rupture, surgical repair is usually recommended on an early elective basis. We present the case of 81-year-old Caucasian male presenting with atypical anterior chest pain secondary to a large innominate artery aneurysm who underwent successful open surgical repair at our institution. In our experience, open correction via median sternotomy with extension into the right neck provides excellent exposure and facilitates rapid reconstruction with good short and long-term outcomes. Minimally invasive and endovascular approaches provide emerging alternatives to open IA aneurysm repair, however further research is required to better define optimal patient selection criteria and determine the long-term outcomes of these novel therapies.
authors.affiliation: Department of Surgery and Cancer, Imperial College London, London, UK.
authors.forename: Erdinc
authors.initials: E
authors.lastname: Soylu
authors.forename: Leanne
authors.initials: L
authors.lastname: Harling
authors.forename: Hutan
authors.initials: H
authors.lastname: Ashrafian
authors.forename: Vania
authors.initials: V
authors.lastname: Anagnostakou
authors.forename: Dimitris
authors.initials: D
authors.lastname: Tassopoulos
authors.forename: Christos
authors.initials: C
authors.lastname: Charitos
authors.forename: John
authors.initials: J
authors.lastname: Kokotsakis
authors.forename: Thanos
authors.initials: T
authors.lastname: Athanasiou
mesh_terms: D000369:Aged, 80 and over; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D008297:Male; D056346:Sternotomy; D014057:Tomography, X-Ray Computed