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Updated: Aug 14, 2026
18:50
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Dual-inflow great vessel aneurysm: delayed presentation after penetrating trauma
M M Rossbach1, R C Baptiste, M T Sykes
1Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio 78284-7842, USA.
The Annals of Thoracic Surgery
|January 1, 1997
Summary
This case report details a rare chronic pseudoaneurysm in the thoracic outlet, stemming from both the right common carotid and subclavian arteries following trauma. The dual-inflow nature of this aneurysm presents unique surgical challenges and learning opportunities.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Thoracic Outlet Syndromes
Background:
- Thoracic outlet aneurysms are rare, often resulting from blunt trauma to great vessels near the aortic arch.
- Penetrating injuries typically affect distal vessels, with pseudoaneurysms being exceptionally uncommon.
Observation:
- A single case of a chronic posttraumatic pseudoaneurysm involving both the right common carotid artery and right subclavian artery is presented.
- The aneurysm exhibited a rare dual-inflow characteristic.
Findings:
- The diagnostic workup and surgical management strategies for this unusual dual-inflow thoracic outlet pseudoaneurysm are detailed.
- Illustrations are provided to enhance understanding of the case anatomy and surgical approach.
Implications:
- This case offers practical insights into managing complex posttraumatic thoracic outlet vascular injuries.
- Understanding dual-inflow pseudoaneurysms is crucial for effective surgical planning and patient outcomes.
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