Dual-Inflow Great Vessel Aneurysm: Delayed Presentation After Penetrating Trauma Mario M Rossbach, MD, Reginald C Baptiste, MD, Mellick T Sykes, MD, Edward.

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Presentation transcript:

Dual-Inflow Great Vessel Aneurysm: Delayed Presentation After Penetrating Trauma Mario M Rossbach, MD, Reginald C Baptiste, MD, Mellick T Sykes, MD, Edward Y Sako, MD, PhD, John H Calhoon, MD, O.LaWayne Miller, MD, Scott B Johnson, MD The Annals of Thoracic Surgery Volume 63, Issue 1, Pages 238-240 (January 1997) DOI: 10.1016/S0003-4975(96)00816-8

Fig. 1 Chest computed tomographic scan with intravenous contrast shows a 3.5 × 5-cm supraclavicular cystic lesion enhanced by the contrast medium (arrow) with a focal area of thin calcification along the medial wall. The trachea is slightly deviated to the left. The hypodense area inside the mass (top) suggests the presence of old material within the lesion. The Annals of Thoracic Surgery 1997 63, 238-240DOI: (10.1016/S0003-4975(96)00816-8)

Fig. 2 Transfemoral angiography of the aortic arch shows the innominate artery with extravasation of contrast at the origin of both the right subclavian artery and the right common carotid artery (A). The previously noted “extravasation” of contrast delineates a vascular structure with dual inflow from the right subclavian artery and the right common carotid artery (B). The intravenous contrast defines the pseudoaneurysm as a “bridge” between the right subclavian artery and the right common carotid artery (C). (RAO = right anterior oblique.) The Annals of Thoracic Surgery 1997 63, 238-240DOI: (10.1016/S0003-4975(96)00816-8)