Aortic and aneurysmal (ICVTS only)
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Diagnosis and surgical treatment of an aneurysm on a cervical aortic arch associated with an anomalous origin of the left main coronary artery
Florent Charrot 1,
Amine Tarmiz 1,
Yves Glock 1,
Bertrand Leobon 1*
1 University Hospital of Rangueil, Toulouse, France
* To whom correspondence should be addressed. E-mail: b.leobon{at}gmail.com.
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Abstract |
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Cervical aortic arch (CAA) is a rare congenital anomaly. An aneurysm developed on a CAA is even rarer and a life threatening condition. We report the diagnosis and surgical treatment of an aneurysm on a CAA associated with an anormalous origin of the left main coronary artery. The surgical procedure consisted in the resection of the aneurysm, a direct aorto aortic anastomosis and a coronary artery bypass to the left anterior descending (LAD) with a good result at 11 months. This first case reported of an anomaly of a coronary artery origin associated with an aneurysm on a CAA, underlines the interest of a preoperative complete anatomical and functional diagnosis, to define an optimal intraoperative strategy. Keywords: Congenital; Thoracic aorta; Aneurysm; Anomalous coronary artery
