title: Sternum-Sparing Hybrid Repair of a Symptomatic Innominate Artery Aneurysm in a Frail Patient with Bovine Aortic Arch.
abstract: We present the case of a 65-year-old man with a bovine aortic arch variation, who presented a symptomatic aneurysm of the innominate artery. Standard open repair was contraindicated and an hybrid approach was performed, regarding general status (Organisation Mondiale de la Santé (OMS) Performance Status score 3 and American Society of Anesthesiologists Physical Status classification system score 3). Right common carotid artery and right subclavian artery were revascularized surgically from the left common carotid artery. Proximal aneurysm exclusion was performed with a vascular plug. Follow-up computed tomography angiography confirmed the exclusion of the innominate artery aneurysm. Vascular plugs can be used safely through a sternum-sparing hybrid approach to treat symptomatic innominate artery aneurysms in frail patients.
authors.affiliation: Division of Vascular and Thoracic Surgery, Bichat Hospital, Diderot University, Paris, France. Electronic address: quentin.pellenc@bch.aphp.fr.
authors.forename: Quentin
authors.initials: Q
authors.lastname: Pellenc
authors.affiliation: Division of Vascular and Thoracic Surgery, Bichat Hospital, Diderot University, Paris, France.
authors.forename: Alla
authors.initials: A
authors.lastname: Avramenko
authors.affiliation: Division of Vascular and Thoracic Surgery, Bichat Hospital, Diderot University, Paris, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Mordant
authors.affiliation: Division of Vascular and Thoracic Surgery, Bichat Hospital, Diderot University, Paris, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Castier
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006801:Humans; D008026:Ligation; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications* / Q000000981:diagnostic imaging