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Updated: Apr 26, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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Cervical aortic arch with multiple aortic aneurysms that required two aortic replacements with a 34-year interval
Hideki Ito1, Tomonobu Abe2, Hideki Oshima2
1Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan sinngehide@yahoo.co.jp.
Interactive Cardiovascular and Thoracic Surgery
|August 8, 2014
Summary
This case report details a rare cervical aortic arch anomaly leading to multiple aortic aneurysms. Early diagnosis and regular imaging are crucial for managing these fragile, congenital vascular malformations.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Congenital Heart Disease
Background:
- A 57-year-old female with a history of childhood cervical vessel anomaly and prior thoracic aortic aneurysm repair presented with hoarseness and dysphagia.
- Previous surgery at age 23 involved a right-sided thoracic descending aortic aneurysm repair via right thoracotomy.
Observation:
- Enhanced computed tomography revealed new, multiple aneurysms in the aorta, extending from the left carotid artery to the proximal descending aorta.
- The patient experienced symptoms of hoarseness and dysphagia for several years preceding the diagnosis.
Findings:
- A successful aortic surgical repair was performed using a left posterolateral thoracotomy.
- This represents the first reported case of a cervical aortic arch with multiple aneurysm formation requiring bilateral thoracotomies.
Implications:
- The case highlights the potential fragility and late-onset aneurysm formation in congenital vascular malformations.
- Emphasizes the critical need for lifelong surveillance and periodical imaging in patients with rare congenital aortic anomalies.
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