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Updated: May 6, 2026
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Murine Cervical Aortic Transplantation Model using a Modified Non-Suture Cuff Technique
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Intraoperative aortic dissection in a patient with cervical aortic arch
Akira Takeuchi1, Hiroshi Tsuneyoshi1, Hideyuki Katayama1
1Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Interdisciplinary Cardiovascular and Thoracic Surgery
|January 12, 2025
Summary
A rare cervical aortic arch (CAA) with descending aortic aneurysm required emergent total arch replacement due to intraoperative dissection. This complex case highlights the need for careful surgical technique in managing this aortic malformation.
Area of Science:
- Cardiovascular Surgery
- Vascular Malformations
- Thoracic Surgery
Background:
- Cervical aortic arch (CAA) is an exceptionally rare congenital anomaly of the aorta.
- Patients with CAA often present with complex vascular abnormalities, posing significant surgical challenges.
Purpose of the Study:
- To report a unique case of a left cervical aortic arch with a descending aortic aneurysm.
- To describe the surgical management of a complex CAA requiring emergent intervention.
Main Methods:
- A 58-year-old female with left CAA and descending aortic aneurysm underwent initial planned descending aorta replacement via left thoracotomy.
- Intraoperative aortic dissection necessitated an emergent shift to total arch replacement via median sternotomy.
- A synthetic graft was then tunneled for peripheral anastomosis in the left thoracotomy field.
Main Results:
- The emergent total arch replacement and subsequent descending aorta anastomosis were successfully completed.
- The patient's complex aortic malformation was managed with a hybrid surgical approach.
Conclusions:
- Surgical management for cervical aortic arch remains unstandardized due to its rarity and associated complex abnormalities.
- Meticulous surgical technique and careful intraoperative manipulation are crucial to prevent complications like aortic dissection in CAA patients.
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