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Cervical aortic arch with mediocystic necrosis
Piergiorgio Cao1, Paolo Angelini, Luigi Colonna
1Divisions of Cardiology and Surgery, The Texas Heart Institute of St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.
Cardiovascular Diseases
|June 1, 1980
Summary
A rare case of a symptomatic cervical aortic arch aneurysm in a young woman was successfully repaired. Mediacystic necrosis contributed to the aggressive nature of this congenital condition.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Congenital Heart Disease
Background:
- Cervical aortic arch is a rare congenital anomaly.
- Aneurysms in cervical aortic arches can lead to severe complications.
- Symptomatic presentation necessitates timely intervention.
Purpose of the Study:
- To discuss a case of symptomatic cervical aortic arch aneurysm.
- To highlight the role of mediocystic necrosis in disease progression.
- To present a successful surgical repair strategy.
Main Methods:
- Angiographic diagnosis was performed.
- Surgical repair of the aneurysm was undertaken.
- Histologic examination of the aneurysm was conducted.
Main Results:
- The patient presented with rapid aneurysm enlargement and symptoms.
- Histology revealed mediocystic necrosis, indicating a severe condition.
- Successful surgical repair was achieved without cardiopulmonary bypass.
Conclusions:
- Cervical aortic arch aneurysms require prompt diagnosis and treatment.
- Mediacystic necrosis is a significant factor in the adverse outcome of this condition.
- Surgical repair without cardiopulmonary bypass is a viable option.