Related Experiment Video
Updated: Mar 27, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
645
Idiopathic thyrocervical trunk aneurysm managed with endovascular coiling.
Nicholas Jose Iglesias1, Patrick Cherfan1, Anne-Isabelle Sophia Reme1
1DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, Florida, USA.
BMJ Case Reports
|March 25, 2026
Summary
Idiopathic thyrocervical trunk aneurysms are rare. This case highlights successful endovascular coil embolization for a patient presenting with a pulsatile neck mass, offering a minimally invasive treatment option.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Case Reports
Background:
- Thyrocervical trunk aneurysms are uncommon vascular lesions.
- These aneurysms are frequently linked to trauma or genetic conditions like neurofibromatosis type 1.
- Current management strategies lack standardized guidelines, leading to varied treatment approaches.
Purpose of the Study:
- To report a rare case of an idiopathic thyrocervical trunk aneurysm.
- To illustrate the diagnostic pathway and successful endovascular management of this condition.
- To contribute to the limited literature on thyrocervical trunk aneurysms.
Main Methods:
- Diagnosis initiated with ultrasonography and confirmed by CT angiography.
- Treatment involved endovascular coil embolization of the aneurysm's inflow and outflow tracts.
- Vascular access was achieved via the right radial artery.
Main Results:
- Successful coil embolization of the idiopathic thyrocervical trunk aneurysm.
- Complete resolution of the patient's painful pulsatile neck mass.
- Patient discharged on postoperative day 1 with symptom resolution.
Conclusions:
- Endovascular coil embolization is a viable and effective treatment for idiopathic thyrocervical trunk aneurysms.
- This minimally invasive approach can lead to rapid symptom relief and recovery.
- Further research is needed to establish definitive management guidelines for these rare aneurysms.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
445
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
445
01:22Aneurysm IV: Nursing Management
577
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
577
01:15Thoracic Aorta
2.3K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
2.3K
01:25Aortic Regurgitation III: Medical Management
548
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
548
01:28Esophageal Varices-II: Clinical Features and Management
752
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
752
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
511
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
511