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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Diagnostic dilemma in spontaneous innominate artery pathology: a case report
Christophoros Kotoulas1, Charalampos Georgiou2, Elefterios Chouliaras3
1Cardiac Surgery Department, 401 Army General Hospital of Athens, Kifissias Ave 38, 11526, Athens, Greece. info@kotoulas.com.
Abstract:
We report the case of a 71-year-old female who presented with sudden onset of right cervical pain and ipsilateral arm hypoaesthesia. The diagnostic evaluation revealed a pathology of the origin of the innominate artery (IA). The differential diagnosis was among a spontaneous acute dissection and a ruptured pseudoaneurysm. The dilemma of the proper treatment emerged. Surgical or medical treatment? Open or endovascular approach? The patient was offered an open treatment under cardiopulmonary bypass and sort circulatory arrest. As less than ten cases of isolated IA dissection have been previously reported in the literature, we discuss the differential diagnosis difficulties and the treatment options.
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