Journal of Vascular and Endovascular Therapy

Staged Hybrid Treatment of a Spontaneous Non-Infectious Innominate Artery Pseudoaneurysm with an On-Table Modified Endograft

Innominate Artery pseudoaneurysm is an uncommon disease. Often secondary to trauma or infection, open chest surgery has been the main surgical approach. Exclusive endovascular treatment has been used in few reports and with limited applications. Hybrid repair has also been reported, with the use of cervical debranching and endografts.

We present a unique case of a spontaneous rapidly enlarging Innominate Artery pseudoaneurysm due to Erdheim-Gsell disease repaired with a staged hybrid repair involving cervical debranching, an on-table modification and deployment of a thoracic endograft and occlusion of the pseudoaneurysm origin, followed by an Aorto-carotid bypass and aortic valve replacement in a second time.

Author(s):

Jose Ignacio Torrealba, Francisco Vargas, Renato Mertens, Francisco Valdes, Michel Bergoeing and Leopoldo Marine

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