Endovascular treatment of innominate artery pseudoaneurysm

Abstract

Pseudoaneurysm of the innominate artery is atypical and engenders after blunt chest trauma. One of the uncommon conditions secondary to innominate artery aneurysm is tracheal stenosis, and progressive dyspnoea as the clinical presentation of a pseudoaneurysm is even more unusual. An 18‐year‐old man was referred to Shahid Moddaress Hospital with a cough and progressive respiratory distress that had commenced 9 months earlier. At first, he had exertional dyspenea but gradually turned into orthopnea and dyspnea at rest. He had a history of trauma resulting from being hit with a vehicle as a pedestrian, and a long period of intubation and tracheostomy 2 years earlier. Although tracheal stenosis is quite uncommon, it is a condition that should be considered for patients with a history of blunt chest trauma, which could result in aneurysms of the great vessels.