Rare Case of Surgical Treatment of a Giant Aortic Arch False Aneurysm

В В Шломин ,I G Drozhzhin ,П Б Бондаренко ,Yury Didenko ,П Д Пуздряк ,N Yu Grebenkina

doi:10.1055/s-0039-1678553

Abstract

The authors present a clinical case of a 44-year-old male patient with a chronic giant aortic arch pseudoaneurysm with a diameter of 136 × 72 mm. The open resection of false aneurysm was accomplished without artificial circulation. Repair was performed with temporary ascending-to-descending and brachiocephalic bypass without cardiopulmonary bypass.

Highlights

Damage to the aorta as result of blunt chest trauma is a rare and dangerous condition with a high mortality rate (80– 90%) due to massive bleeding
In 2014, the patient was hospitalized in our department when we confirmed the diagnosis of the aortic arch pseudoaneurysm (►Fig. 1)
Through the L-shaped median sternotomy and left 5th intercostal thoracotomy, we identified and extracted the ascending aorta, aortic arch, left common carotid and subclavian arteries and mid part of descending aorta (►Fig. 2)

Summary

Introduction

Damage to the aorta as result of blunt chest trauma is a rare and dangerous condition with a high mortality rate (80– 90%) due to massive bleeding. Keywords ► aortic arch false aneurysm ► pseudoaneurysm ► temporary bypass The authors present a clinical case of a 44-year-old male patient with a chronic giant aortic arch pseudoaneurysm with a diameter of 136 Â 72 mm. Repair was performed with temporary ascending-to-descending and brachiocephalic bypass without cardiopulmonary bypass.

Results

Conclusion