scholarly journals Incidental retroaortic innominate vein in a patient with acute aortic dissection

2020 ◽  
Author(s):  
Hideki Sasaki ◽  
Takashi Harada ◽  
Hiroshi Ishitoya ◽  
Osamu Sasaki
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Acute Aortic Dissection ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Vein ◽  
Cannulation Site ◽  
Left Innominate Vein ◽  
Retroaortic Innominate Vein ◽  
Hemiarch Replacement

Abstract BackgroundRetroaortic innominate vein is a rare anomaly. It has been reported in patients with congenital anomalies such as Tetralogy of Fallot or right aortic arch. However, isolated retroaortic innominate vein is quite rare.Case presentationA 63-year-old man was transferred to our institution because of Stanford type A acute aortic dissection. Incidentally, we noticed that the left innominate vein coursed under the aortic arch and was directed into the superior vena cava on computed tomography. We performed emergent hemiarch replacement. ConclusionsAttention must be paid to the cannulation site for venous uptake and the method of myocardial protection.

scholarly journals Incidental Retroaortic Innominate Vein in a Patient with Acute Aortic Dissection

2020 ◽  
Author(s):  
Hideki Sasaki ◽  
Takashi Harada ◽  
Hiroshi Ishitoya ◽  
Osamu Sasaki
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Acute Aortic Dissection ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Vein ◽  
Cannulation Site ◽  
Left Innominate Vein ◽  
Retroaortic Innominate Vein ◽  
Hemiarch Replacement

Abstract BackgroundRetroaortic innominate vein is a rare anomaly. It has been reported in patients with congenital anomalies such as Tetralogy of Fallot or right aortic arch. However, isolated retroaortic innominate vein is quite rare.Case presentationA 63-year-old man was transferred to our institution because of Stanford type A acute aortic dissection. Incidentally, we noticed that the left innominate vein coursed under the aortic arch and was directed into the superior vena cava on computed tomography. We performed emergent hemiarch replacement. ConclusionsAttention must be paid to the cannulation site for venous uptake and the method of myocardial protection.

scholarly journals Incidental retroaortic innominate vein in a patient with acute aortic dissection

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Hideki Sasaki ◽  
Takashi Harada ◽  
Hiroshi Ishitoya ◽  
Osamu Sasaki
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Acute Aortic Dissection ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Vein ◽  
Cannulation Site ◽  
Left Innominate Vein ◽  
Retroaortic Innominate Vein ◽  
Hemiarch Replacement

Abstract Background Retroaortic innominate vein is a rare anomaly. It has been reported in patients with congenital anomalies such as Tetralogy of Fallot or right aortic arch. However, isolated retroaortic innominate vein is quite rare. Case presentation A 63-year-old man was transferred to our institution because of Stanford type A acute aortic dissection. Incidentally, we noticed that the left innominate vein coursed under the aortic arch and was directed into the superior vena cava on computed tomography. We performed emergent hemiarch replacement. Conclusions Attention must be paid to the cannulation site for venous uptake and the method of myocardial protection.

Floating left innominate vein neoplastic thrombus: A rare case of mediastinal extension of follicular thyroid carcinoma

2013 ◽  
Vol 30 (2) ◽  
pp. 140-144 ◽  
Author(s):  
IF Franco ◽  
A Gurrado ◽  
G Lissidini ◽  
G Di Meo ◽  
A Pasculli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Vein ◽  
En Bloc ◽  
First Case ◽  
Thyroid Mass ◽  
Retrosternal Goiter ◽  
Arm Swelling ◽  
Left Innominate Vein

Objective We report a case of advanced follicular thyroid cancer with innominate vein involvement. To our knowledge, this seems to be the first case treated in emergency surgery, reported in literature. Method A 59-year-old woman with a five-year history of a large and mainly right-sided cervical mass presented with dyspnea, unilateral arm swelling, facial flushing, and venous congestion. An emergency computed tomography scan revealed a thyroid mass extending into the upper mediastinum with displacement and compression of the right jugular vein and carotid artery and apparent adherence to the superior vena cava and left innominate vein. Results An emergency total thyroidectomy was performed by means of a sternotomy. The lower portion of the retrosternal goiter projected directly into the left innominate vein, with tumor floating in its lumen. Removal of the neoplastic thrombus was performed, through an incision in the vein, en bloc with the thyroid mass. Both goiter and thrombus were completely replaced by follicular carcinoma. Conclusions Accurate preoperative assessment through contrast-enhanced computed tomography is strongly suggested in the presence of enlarged thyroid gland extending into the mediastinum whenever angioinvasion is suspected. This could prevent blinded maneuvers such as digital externalization of the thoracic component of the gland, which can be fatal in cases of cervico-mediastinal goiter extending into great cervical or mediastinal veins.

scholarly journals Modified Technique for Retrograde Cerebral Perfusion during Hemiarch Aortic Replacement

Aorta ◽  
2021 ◽  
Author(s):  
Nicholas T. Kouchoukos ◽  
Marc Haynes ◽  
Sarah Hester ◽  
Catherine F. Castner
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Superior Vena ◽  
Vena Cava ◽  
Brain Protection ◽  
Retrograde Cerebral Perfusion ◽  
Aortic Replacement ◽  
Cold Blood ◽  
Hemiarch Replacement

Abstract Background Uncertainty remains regarding the optimal method of brain protection for procedures that require repair or replacement of the aortic arch. We examined the early outcomes of a technique for brain protection in patients undergoing partial aortic arch (hemiarch) replacement that involves deep hypothermic circulatory arrest (DHCA) and retrograde cerebral perfusion (RCP) of cold blood from the superior vena cava toward the end of the arrest interval. Methods During a recent 15-year interval, 520 patients underwent elective or urgent/emergent ascending aortic and hemiarch replacement as an isolated (47 patients) or combined (473 patients) procedure employing DHCA (mean nasopharyngeal temperature at circulatory arrest, 17.1°C and mean duration, 19.3 minutes) supplemented with RCP of cold blood from the superior vena cava toward the end of the arrest interval (mean, 6.7 minutes). The mean age of the patients was 59.5 years, and 65% were male. Results The in-hospital and 30-day mortality rates were 1.2% (six patients). Seven patients (1.4%) sustained a stroke and 19 patients (3.7%) had transient neurologic dysfunction that completely resolved by the time of hospital discharge. Four patients (0.77%) developed postoperative renal failure requiring dialysis. Twenty-one patients (4%) required ventilator support for >48 hours and five patients (0.96%) required a tracheostomy. The median hospital length of stay was 6 days. Conclusion DHCA with a brief interval of RCP is a safe and effective technique for brain protection during hemiarch aortic replacement. RCP reduces the duration of brain ischemia and permits removal of particulate matter and air from the arterial circulation.

Isolated retroaortic innominate vein and right aortic arch: a case report and review of literature

2019 ◽  
Vol 29 (8) ◽  
pp. 1091-1093
Author(s):  
Utkarsh Kohli
Keyword(s):  
Case Report ◽  
Aortic Arch ◽  
Right Aortic Arch ◽  
Innominate Vein ◽  
Venous Anomaly ◽  
Review Of Literature ◽  
Healthy Newborn ◽  
Left Innominate Vein ◽  
Retroaortic Innominate Vein

AbstractRetroaortic course of left innominate vein is a rare venous anomaly which is usually associated with CHD. Isolated retroaortic innominate vein is exceedingly rare with only a handful of reported cases. We report an otherwise healthy newborn with isolated retroaortic innominate vein and right aortic arch, a combination which has previously not been reported.

Sign in / Sign up

Export Citation Format

Share Document