Ferreira-Piña B, Ramírez-Castañeda S, Prado-Villegas G, Careaga-Reyna G, Argüero-Sánchez R

Idioma: Español
Referencias bibliográficas: 27
Paginas: 57-60
Archivo PDF: 113.46 Kb.

RESUMEN

Los aneurismas de la arteria innominada son una entidad poco frecuente. Los mecanismos patogénicos son variados y los pacientes suelen cursar asintomáticos, aunque pueden presentar diversos cuadros clínicos. El tratamiento quirúrgico depende de las características anatómicas y debe realizarse para prevenir las complicaciones. Se describe el caso de un hombre de 77 años de edad con angina inestable por aterosclerosis coronaria y enfermedad multivascular, en quien incidentalmente durante una revascularización miocárdica se encontró un aneurisma sacular con un diámetro de 2 cm en el origen de la arteria innominada. Después de la revascularización, una vez fuera de la derivación cardiopulmonar y en el mismo tiempo quirúrgico, se realizó aneurismorrafia sin complicaciones, con resultados satisfactorios y sin secuelas neurológicas.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Zarins CK, Heikkinen MA, Hill BB. Aneurysmal vascular disease. In: Townsend CM, ed. Sabiston Textbook of Surgery. 17th ed. Philadelphia. W.B. Saunders; 2005. pp. 1265-1314.

2. 2.Kieffer E, Chiche L, Koskas F, Bahnini A. Aneurysms of the innominate artery: surgical treatment of 27 patients. J Vasc Surg 2001;34:222-228.

3. Ninomiya H, Kuwabara M, Hayase T, Furukawa K, Onitsuka T. Mycotic pseudoaneurysm of the brachiocephalic artery. Jpn J Thorac Cardiovasc Surg 2004;52:155-157.

4. Biebl M, Neuhauser B, Perkmann R, Tauscher T, Ealdenberger P, Fraedrich G. Traumatic pseudoaneurysm of the brachiocephalic artery following mediastinoscopy: initial endovascular repair followed by open surgerya case report. Am Surg 2003;69:542-545.

5. Regina G, Fullone M, Testini M, Todisco C, Greco L, Rizzi R, et al. Aneurysms of the supra-aortic trunks in Takayasu’s disease: report of two cases. J Cardiovasc Surg 1998;39:757-760.

6. García-Porrúa C, Pego-Reigosa R, Piñeiro A, Armesto V, González-Gay MA. Supraclavicular pulsatile mass as presenting sign of brachiocephalic trunk aneurysm in the long-term followup of giant cell arteritis. Arthritis Rheum 2005;53:475-476.

7. Matsumara K, Hirano T, Takeda K, Matsuda A, Nakagawa T, Yamaguchi N, et al. Incidence of aneurysms in Takayasu’s arteritis. Angiology 1991;42:308-315.

8. Akio I, Yukio C, Tetsuya K, Moichi M, Takahiko U, Ryusuke M. Iatrogenic false aneurysm of the brachiocephalic artery: a complication of total parenteral nutrition. J Trauma 1999;47:975-977.

9. Regina G, Greco L, Testini M, Todisco C, Iusco D, Rizzi R. Treatment of supra-aortic trunk aneurysms: report on 16 cases. Chir Ital 1999;51:139-144.

10. Kurihara H, Tsuchiya K, Ohsawa H, Saito H, Iida Y, Noda Y, et al. Coronary revascularization in a patient with bilateral internal carotid artery stenosis and aneurysm of the brachiocephalic artery: a case report. Kyobu Geka 2000;53:225-228.

11. 11.Hideaki M, Yoshitaka O, Yoshihiko M, Hiroshi I, Yasuyuki Y, Kunihiro E, et al. A surgical case of concomitant aneurysms of the brachiocephalic and coronary arteries. Ann Thorac Cardiovasc Surg 2005;11:128-131.

12. Chambers CM, Curci JA. Treatment of nonaortic aneurysms in the endograft era: aneurysms of the innominate and subclavian arteries. Semin Vasc Surg 2005;18:184-190.

13. Saito A, Shiono M, Yamamoto T, Inoue T, Hata M, Sezai A, et al. Surgical treatment for innominate artery aneurysm with a coronary pulmonary artery fistula: a case report. Ann Thorac Cardiovasc Surg 2005;11:55-58.

14. Brewster DC, Moncure AC, Darling RC, Ambrosino JJ, Abbott WM. Innominate artery lesions: problems encountered and lessons learned. J Vasc Surg 1985;2:99-112.

15. Melissano G, Civilini E, Marrocco-Trischitta MM, Chiesa R. Hybrid endovascular and off-pump open surgical treatment for synchronous aneurysms of the aortic arch, brachiocephalic trunk and abdominal aorta. Tex Heart Inst J 2004;31:283-287.

16. Guibaud J-P, Laborde MN, Dubrez J. Surgical repair of an aneurysm of the innominate artery with fistulization into the trachea. Ann Vasc Surg 2001;15:412-414.

17. Sader AA, Cherri J, Ceneviva R. Massive tracheal necrosis due to compression by an innominate artery aneurysm associated with a grade IV chagasic megaesophagus and chronic duodenal ulcer. Chest 1999;116:837-840.

18. McFarland JJ, Kahn MB, Bellows CF, Shah RM, Koeningsberg RA, et al. Superior vena cava syndrome caused by aneurysm of the innominate artery. Ann Thorac Surg 1995;59:227-229.

19. Butman S, Gardin JM, Knoll M. Innominate artery aneurysm with thrombus: detection by two-dimensional echocardiography. J Am Coll Cardiol 1983;2:387-390.

20. Bush RL, Hurt JE, Bianco CC. Endovascular management of a ruptured mycotic aneurysm of the innominate artery. Ann Thorac Surg 2002;74:184-186.

21. Hirose H, Moore E. Delayed presentation and rupture of a posttraumatic innominate artery aneurysm: case report and review of the literature. J Trauma 1997;42:1187-1195.

22. 22.Takaba K, Aota M, Koike H, Konishi Y. Surgical treatment for intrathoracic aneurysm of the innominate artery in an 83-year-old asymptomatic woman. Jpn J Thorac Cardiovasc Surg 2004;52:194-197.

23. Bower TC, Pairolero PC, Hallett JW Jr, Toomey BJ, Gloviczki P, Cherry KJ Jr. Brachiocephalic aneurysm: the case for early recognition and repair. Ann Vasc Surg 1991;5:125-132.

24. Adkins MS, Gaines WE, Laub GW, Anderson WA, Fernandez J, McGrath LB. Management of an innominate artery aneurysm during an open heart operation. Ann Thorac Surg 1993;56:377-379.

25. Puech-Leao P, Orra HA. Endovascular repair of an innominate artery true aneurysm. J Endovasc Ther 2001;8:429-432.

26. Marone EM, Esposito G, Kahlberg A. Surgical treatment of tracheoinnominate fistula after stent-graft implantation. J Thorac Cardiovasc Surg 2007;133:1641- 1643.

27. Pruitt A, Dodson TF, Najibi S, Thourani V, Sherman A, Cloft H, et al. Distal septic emboli and fatal brachiocephalic artery mycotic pseudoaneurysm as a complication of stenting. J Vasc Surg 2002;36:625-628.