Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T08:14:54.906Z Has data issue: false hasContentIssue false

Early Diagnosis and Treatment of a Posttraumatic Pseudoaneurysm/Dissection of the Innominate Artery

Published online by Cambridge University Press:  04 February 2014

Fernando Azarcon*
Affiliation:
Texas Tech University Health Science Center – Radiology, El Paso, Texas USA
Melhelm Ghaleb
Affiliation:
University Medical Center – Radiology, El Paso, Texas USA
*
Correspondence: Fernando Azarcon, MD University Medical Center – Radiology 4800 Alberta Avenue El Paso, Texas USA 79905 E-mail joyjrmd@yahoo.com

Abstract

A 25-year-old male developed a traumatic intimo-medial dissection and saccular pseudoaneurysm at the origin of the innominate artery following a motorcycle accident. On physical examination there was no perceivable trauma to the chest. In addition, there were no clinical symptoms that suggested this serious injury. The patient was managed with successful stent-graft placement on an elective basis.

AzarconF, GhalebM. Early Diagnosis and Treatment of a Posttraumatic Pseudoaneurysm/Dissection of the Innominate Artery. Prehosp Disaster Med. 2014;29(1):1-3.

Type
Case Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Puech-Lea, P, Orra, A. Endovascular repair of an innominate artery true aneurysm. J Endovasc Ther. 2001;8(4):429-432.CrossRefGoogle Scholar
2. Dhaliwal, R, Luthra, S, Goyal, S, et al. Traumatic giant pseudoaneurysm of the innominate artery. Asian Cardiovascular and Thoracic Annals. 2005;13(4):369-371.CrossRefGoogle ScholarPubMed
3. Rispoli, P, Varetto, G, Savia, F, Rinaldi, M. Large post-stenting innominate artery pseudoaneurysm. Interact Cardiovasc Thorac Surg. 2008;7(3):444-446.CrossRefGoogle ScholarPubMed
4. Huang, C, Kao, H. Endovascular management of post-traumatic innominate artery transection with pseudo-aneurysm formation. Catheter Cardiovasc Interv. 2008;72(4):569-572.CrossRefGoogle ScholarPubMed
5. Rich, NM, Spencer, FC. Injuries of the intrathoracic branches of the aortic arch. In: Rich NM, Spencer FC, eds. Vascular Trauma. Eastbourne, UK: Holt-Saunders; 1978:288-306.Google Scholar
6. Zoffoli, G, Saccani, S, Larini, P, et al. Endovascular treatment of traumatic aortic dissection and innominate artery pseudoaneurysm. J Trauma. 2006;61(2):447-450.Google ScholarPubMed
7. Axisa, BM, Loftus, IM, Fishwick, G, et al. Endovascular repair of an innominate artery false aneurysm following blunt trauma. J Endovasc Ther. 2000;7(3):245-250.CrossRefGoogle ScholarPubMed
8. Kraus, TW, Paetz, B, Richter, RM, et al. The isolated posttraumatic aneurysm of the brachiocephalic artery after blunt thoracic contusion. Ann Vasc Surg. 1993;7(3):275-281.CrossRefGoogle ScholarPubMed
9. Halpin, D, Nicholson, J, Blakemore, W, Harlan, J. Innominate artery pseudoaneurysm presenting as a widened mediastinum. J Thorac Cardiovasc Surg. 1995;109(2):390-391.CrossRefGoogle ScholarPubMed
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 1

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 106.2 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 2

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 97.8 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 3

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 70.2 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 4

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 65.8 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 5

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 267.9 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 6

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 144.2 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 7

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 356.8 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 8

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 303.7 KB
Supplementary material: Image

Azarcon and Ghaleb Supplementary Material

Figure 9

Download Azarcon and Ghaleb Supplementary Material(Image)
Image 131.7 KB