Successful endovascular repair of a giant pseudoaneurysm of the innominate artery with a covered stent

Pedro A. Mera; Mariel R. Cid; Ravel Almonte

doi:10.18203/2349-2902.isj20252694

Authors

Pedro A. Mera Department of Vascular Surgery, Clínica Universitaria Unión Médica del Norte, Santiago, Dominican Republic
Mariel R. Cid Department of Surgery, Clínica Universitaria Unión Médica del Norte, Santiago, Dominican Republic
Ravel Almonte Department of Surgery, Clínica Universitaria Unión Médica del Norte, Santiago, Dominican Republic

DOI:

https://doi.org/10.18203/2349-2902.isj20252694

Keywords:

Mediastinal displacement, Cover stent, Innominate artery pseudoaneurysms, Endovascular surgical repair, Blunt carotid artery injury

Abstract

Pseudoaneurysm of the branches of the aortic arch resulting from blunt thoracic trauma is rare; however, when present, it may compromise the integrity of the innominate artery and the aortic isthmus. We present the case of a 54-year-old man with a known history of hypertension and rheumatoid arthritis, who was referred to the head and neck surgery service for consultation, presenting with a pulsatile mass at the base of the anterolateral side of the neck, progressive dysphonia, dysphagia, and progressive weight loss. Computed tomography (CT) angiography of the neck revealed a giant pseudoaneurysm displacing structures of the neck and mediastinum. The patient was eligible for endovascular exclusion of the pseudoaneurysm. The procedure was successfully performed under local anesthesia.

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