Wang WD, Sun R, Zhou MX, Liu XR, Zheng YH, Chen YX. A complicated case of innominate and right common arterial aneurysms due to Takayasu’s arteritis. World J Clin Cases 2019; 7(13): 1671-1676 [PMID: 31367626 DOI: 10.12998/wjcc.v7.i13.1671]
Corresponding Author of This Article
Yue-Xin Chen, MD, Department of Vascular Surgery, Peking Union Medical College Hospital, No. 1, Shuaifuyuan, Dongcheng District, Beijing 100730, China. chenyuexin@pumch.cn
Research Domain of This Article
Peripheral Vascular Disease
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Wen-Da Wang, Rui Sun, Meng-Xin Zhou, Yue-Hong Zheng, Yue-Xin Chen, Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Xing-Rong Liu, Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Author contributions: Chen YX and Liu XY performed the operation; Wang WD collected the case data and drafted the article; Sun R and Zhou MX consulted literature material; Chen YX and Zheng YH made critical revisions to the manuscript.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: CARE Checklist (2016) statement has been uploaded.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yue-Xin Chen, MD, Department of Vascular Surgery, Peking Union Medical College Hospital, No. 1, Shuaifuyuan, Dongcheng District, Beijing 100730, China. chenyuexin@pumch.cn
Telephone: +86-10-69152501 Fax: +86-10-69152501
Received: February 13, 2019 Peer-review started: February 15, 2019 First decision: March 8, 2019 Revised: March 15, 2019 Accepted: May 1, 2019 Article in press: May 1, 2019 Published online: July 6, 2019 Processing time: 144 Days and 2.2 Hours
Abstract
BACKGROUND
Innominate artery aneurysms (IAAs) are relatively rare. Endovascular therapy has been an alternative to open surgery in some IAA cases, but open repair is still necessary in complicated cases.
CASE SUMMARY
We report a 35-year-old female who suffered from Takayasu’s arteritis. The patient did not get regular treatment, and IAA and right common carotid artery aneurysm developed, which complicated with occlusion of the left carotid artery, subclavian artery, and the initial part of the left vertebral artery. The patient also had moderate aortic valve insufficiency. With inflammation being controlled well, the patient received the surgery for arterial aneurysms of innominate and right common carotid arteries and aortic valve insufficiency. The shunts for cerebral blood supply were designed to protect the brain and the surgery was conducted successfully under extracorporeal circulation.
CONCLUSION
The case illustrates that open surgery may be appropriate for some complicated IAAs, and brain protection is important.
Core tip: This is a very interesting case of Takayasu’s arteritis, which is a relatively rare reason for innominate artery aneurysm. The patient had innominate artery and right carotid artery aneurysms. The patient also suffered from occlusion of the left carotid artery, subclavian artery, and the initial part of the left vertebral artery. The condition of aortic valve insufficiency also increased the difficulty of the surgery.
