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Endovascular repair of cervical aortic arch aneurysm

Jacob P Barbee1, Scott L Stevens, Thomas E Gaines

  • 1University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA. JacobBarbee@aol.com

Vascular and Endovascular Surgery
|August 21, 2007
PubMed

Insights

Cervical aortic arch (CAA) is a rare congenital anomaly. This case report details the first endovascular repair of a CAA with an associated aneurysm, successfully treating severe chest pain in a 32-year-old male.

Area of Science:

  • Vascular Surgery
  • Congenital Cardiovascular Anomalies

Background:

  • Cervical aortic arch (CAA) is a rare congenital anomaly.
  • CAA can rarely be associated with aneurysmal dilation of the aortic arch and great vessels.

Observation:

  • A 32-year-old male presented with severe chest pain.
  • Radiographic evaluation revealed a CAA with aneurysmal dilation extending into the left subclavian artery and marked angulation.

Findings:

  • The patient underwent successful repair using a thoracic aortic endograft and an axillary-to-axillary bypass.
  • This procedure excluded the aneurysm and restored perfusion to the left upper extremity.

Implications:

  • This is the first reported endovascular repair of a cervical arch aneurysm.
  • The successful outcome suggests endovascular techniques may be a viable option for treating this rare condition.

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