Endovascular Repair of Cervical Aortic Arch Aneurysm

Cervical aortic arch (CAA) is a rare congenital anomaly of the aortic arch. Rarely, CAA is associated with aneurysm of the arch and great vessels. A 32-year-old male patient, previously in good health, presented with 2 weeks of severe chest pain. Radiographic evaluation revealed a CAA with aneurysma...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2007-08, Vol.41 (4), p.355-357
Main Authors: Barbee, Jacob P., Stevens, Scott L., Gaines, Thomas E., Gash, Judson R.
Format: Article
Language:English
Subjects:
Adult
Aorta, Thoracic - abnormalities
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis Implantation - methods
Cardiology. Vascular system
Diagnosis, Differential
Diseases of the aorta
Humans
Imaging, Three-Dimensional
Male
Medical sciences
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:Cervical aortic arch (CAA) is a rare congenital anomaly of the aortic arch. Rarely, CAA is associated with aneurysm of the arch and great vessels. A 32-year-old male patient, previously in good health, presented with 2 weeks of severe chest pain. Radiographic evaluation revealed a CAA with aneurysmal dilation of the distal aortic arch. The aneurysm extended into the left subclavian artery. There was also marked angulation just distal to the aneurysmal portion. The aneurysmal arch and subclavian artery were repaired using a thoracic aortic endograft. An open axillary-to-axillary bypass was performed, and the left axillary artery was ligated proximally. This restored perfusion to the left upper extremity and effectively excluded the aneurysm sac. Immediately postoperatively, the patient's chest pain resolved, and he has remained symptom free. To the authors' knowledge, this is the first reported repair of a cervical arch aneurysm by endovascular technique.
ISSN:1538-5744
1938-9116
DOI:10.1177/1538574407302847