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Innominate artery post-traumatic pseudoaneurysm presenting with Horner's syndrome
Vânia Constâncio Oliveira1, Gonçalo Coutinho2, Manuel Fonseca1
1Department of Angiology and Vascular Surgery, Centro Hospitalar e Universitário de Coimbra, EPE, Coimbra, Portugal.
Interactive Cardiovascular and Thoracic Surgery
|May 24, 2021
Summary
Isolated innominate artery trauma from blunt chest injury is uncommon. This case highlights a rare distal innominate artery pseudoaneurysm causing Horner
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- Blunt thoracic contusion can lead to rare injuries of the great vessels.
- The innominate artery, particularly its origin, is susceptible to trauma.
- Distal innominate artery pseudoaneurysms are an infrequent consequence of thoracic trauma.
Observation:
- A patient presented with symptoms suggestive of Horner's syndrome following blunt thoracic trauma.
- Clinical examination and imaging revealed a distal innominate artery pseudoaneurysm.
Findings:
- The pseudoaneurysm was confirmed to be a rare complication of isolated innominate artery trauma.
- The patient's Horner's syndrome was attributed to the pseudoaneurysm.
Implications:
- This case underscores the importance of considering great vessel injury in blunt thoracic trauma, even with seemingly isolated symptoms.
- Conventional surgical repair remains a viable treatment option for distal innominate artery pseudoaneurysms.
- Early diagnosis and management are crucial to prevent complications such as rupture or neurological deficits.
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