Spontaneous innominate and left common carotid artery dissection with bovine aortic arch

• Published in: General thoracic and cardiovascular surgery Vol. 62; no. 4; pp. 238 - 240
• Main Authors: Ohki, Satoshi, Obayashi, Tamiyuki, Koyano, Tetsuya, Yasuhara, Kiyomitsu, Hirai, Hanako, Hatori, Kyouhei
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01.04.2014; Springer Nature B.V
• Subjects: Aneurysm, Dissecting - surgery; Aneurysms; Aorta, Thoracic - abnormalities; Aorta, Thoracic - surgery; Aortic dissection; Brachiocephalic Trunk - pathology; Brachiocephalic Trunk - surgery; Cardiac Surgery; Cardiology; Carotid arteries; Carotid Artery, Common - pathology; Carotid Artery, Common - surgery; Case Report; Coronary vessels; Female; Humans; Imaging, Three-Dimensional; Medicine; Medicine & Public Health; Middle Aged; Patients; Surgical Oncology; Thoracic Surgery; Tomography; Tomography, X-Ray Computed; Veins & arteries; Total arch replacement; Bovine aortic arch; Innominate artery dissection
• ISSN: 1863-6705; 1863-6713
• DOI: 10.1007/s11748-013-0253-1

We describe a case of a 63-year-old woman who presented with spontaneous dissection of the innominate and left common carotid arteries arising from a common trunk, so-called “bovine aortic arch.” The entry tear was seen in the common trunk at the origin of the innominate artery with no dissection extending into the aortic arch or the ascending aorta. The dissection was resected and total arch replacement was performed considering the aortic wall fragility complicated by the dissection.