Published online Jul 6, 2019. doi: 10.12998/wjcc.v7.i13.1671
Peer-review started: February 15, 2019
First decision: March 8, 2019
Revised: March 15, 2019
Accepted: May 1, 2019
Article in press: May 1, 2019
Published online: July 6, 2019
Processing time: 144 Days and 2.2 Hours
Innominate artery aneurysms (IAAs) are relatively rare. Endovascular therapy has been an alternative to open surgery in some IAA cases, but open repair is still necessary in complicated cases.
We report a 35-year-old female who suffered from Takayasu’s arteritis. The patient did not get regular treatment, and IAA and right common carotid artery aneurysm developed, which complicated with occlusion of the left carotid artery, subclavian artery, and the initial part of the left vertebral artery. The patient also had moderate aortic valve insufficiency. With inflammation being controlled well, the patient received the surgery for arterial aneurysms of innominate and right common carotid arteries and aortic valve insufficiency. The shunts for cerebral blood supply were designed to protect the brain and the surgery was conducted successfully under extracorporeal circulation.
The case illustrates that open surgery may be appropriate for some complicated IAAs, and brain protection is important.
Core tip: This is a very interesting case of Takayasu’s arteritis, which is a relatively rare reason for innominate artery aneurysm. The patient had innominate artery and right carotid artery aneurysms. The patient also suffered from occlusion of the left carotid artery, subclavian artery, and the initial part of the left vertebral artery. The condition of aortic valve insufficiency also increased the difficulty of the surgery.