Ruth L Bush, MD, Julian E Hurt, MD, Charles C Bianco, MD

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Presentation transcript:

Endovascular management of a ruptured mycotic aneurysm of the innominate artery Ruth L Bush, MD, Julian E Hurt, MD, Charles C Bianco, MD The Annals of Thoracic Surgery Volume 74, Issue 6, Pages 2184-2186 (December 2002) DOI: 10.1016/S0003-4975(02)03976-0

Fig 1 Arch aortogram demonstrating innominate artery pseudoaneurysm. Despite multiple images performed, the exact origin of the common carotid artery could not be identified. The Annals of Thoracic Surgery 2002 74, 2184-2186DOI: (10.1016/S0003-4975(02)03976-0)

Fig 2 (a) A Palmaz XL stent was introduced and deployed by a transaxillary approach due to limited catheter length. An injection catheter was positioned in the ascending aorta from the femoral artery for contrast injection throughout the procedure. (b) An angled catheter was placed through the stent interstices for coil embolization. Completion arteriography showed exclusion of the pseudoaneurysm from the systemic circulation. The Annals of Thoracic Surgery 2002 74, 2184-2186DOI: (10.1016/S0003-4975(02)03976-0)

Fig 3 After placement of a Wallgraft within the Palmaz stent for continued chest wall bleeding. The common carotid artery no longer fills; however, the patient was neurologically intact. The Annals of Thoracic Surgery 2002 74, 2184-2186DOI: (10.1016/S0003-4975(02)03976-0)