Giant Aortic Arch Research Articles

Isolated giant aortic arch aneurysm repair in a 13-year-old girl: a case report

BackgroundAortic arch aneurysm is a very rare condition in children. Surgery is the life saving procedure but it performing might be challenging due to the complex anatomy.Case presentationWe describe a 13-year-old girl who was diagnosed to have an isolated giant aortic arch aneurysm. This girl was referred to our institution with persistent cough as a leading symptom, which started two months ago. Surgery was performed as combined approach: left-sided thoracotomy and midline sternotomy. The left subclavian artery was re-implanted via supraclavicular approach to the left common carotid artery end-to-side anastomosis. Aneurysm was excised after midline sternotomy and initiation of cardiopulmonary bypass under mild hypothermia. Histological evaluation of the wall of the aneurysm revealed no evidence of any specific changes.ConclusionsThe using of the combined method was characterised by a good postoperative surgical results. Pediatricians should be aware of persistent cough in children as a symptom of mediastinal mass of different origin and identity.

Giant aortic arch aneurysm presenting with hoarseness of voice.

A middle-aged male with hypertension and dyslipidaemia presented with hoarseness of voice due to a left vocal palsy. The chest radiograph revealed a saccular opacity silhouetting the left border of the aortic knuckle, suggestive of a large aortic arch aneurysm. Routine investigations, such as a chest radiograph do occasionally identify potentially fatal pathology, even when perhaps not strictly indicated; uncommon presentations do occur!

Aortic arch aneurysm. Tracheobronchial compression as a vital indication for emergency surgery: A case report.

IntroductionGiant thoracic aortic aneurysms and aortic arch dissections are accompanied by high mortality rates, cardiac and neurologic events and pulmonary complications. Tracheobronchial compression with aorta-tracheal fistula is a rare complication of the aorta aneurysms. Aortic arch replacement in such case presents several formidable challenges.Presentation of caseThis is the case report of successful surgical treatment of giant aortic arch aneurysm, complicated by airway compression, aorta-tracheal fistula and recurrent community-acquired pneumonia.DiscussionUrgent indications for the aortic arch aneurysms surgery include significant size and high risk of rupture. As well as a visceral compression are presented. Bronchoscopy can be used to successfully treatment at all stages from trachea intubation to extubation.ConclusionAggressive surgical approach with careful pre-operative diagnostic are the key to success and the only one chance for patients with aortic arch aneurysm, complicated by airway compression.

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

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.

Successful surgical treatment of a ruptured giant atherosclerotic aneurysm of arcus aorta

Endovascular aortic repairs in hybrid theatres have been implemented as an alternative option for the treatment of aortic arch aneurysms. The improvements in synthetic graft technologies, cardiopulmonary bypass techniques, blood protection, myocardial protection and protection of the central nervous system have resulted in safer applications of surgical interventions, particularly to the arcus aorta. In this article, we present our successful emergency surgical therapeutic approach in a 74-year-old female patient case with a ruptured giant aortic arch aneurysm.

Asymptomatic Compression of the Left Pulmonary Artery in a Patient with Giant Aortic Arch Aneurysm

Asymptomatic Compression of the Left Pulmonary Artery in a Patient with Giant Aortic Arch Aneurysm

Cardiovocal syndrome secondary to a giant aortic arch aneurysm

Cardiovocal syndrome is a clinic entity about the association between hoarseness secondary to vocal fold paralysis and cardiovascular disorders. These cardiovascular disorders, including mitral stenosis, cor pulmonale, pulmonary hypertension, aortopulmonarywindow, Ebstein’s anomaly, aortic dissecting and aortic aneurysms, may cause vocal fold paralysis [1]. Aortic aneurysm, consisting of thoracic and abdominal aortic aneurysm, is a segmental full-thickness dilation of the aorta at least 50% diameter compared to expected diameter. Patients having thoracic aortic aneurysms are usually asymptomatic [2,3]. Up to 5% of patients with thoracic aortic aneurysm involving the aortic arch develop cardiovocal syndrome due to the left recurrent laryngeal nerve palsy [2]. An aneurysm having a diametermore than 10 cm is defined as a giant aneurysm [3]. We present a rare case of cardiovocal syndrome secondary to a giant aortic arch aneurysm in a geriatric patient.

Type-B interruption of the aortic arch with a giant aortic arch aneurysm in an adult

A 21-year old male patient was evaluated for weakness and claudication of both lower limbs. Radio-femoral delay was present on palpation. No intracardiac anomalies showed up on echocardiography. Figures 1 and 2 show preoperative and postoperative computer tomography images and illustrations of the interrupted aortic arch. The aneurysm was excised and continuity established with an interposition graft.

Giant Aortic Arch Aneurysm After Interrupted Aortic Arch Repair

An 8-year-old boy developed a large aneurysm of the aortic arch after neonatal complete repair of interrupted aortic arch type B and closure of a perimembranous ventricular septal defect. To our knowledge, this unusual complication has not been previously reported in the English literature.