Journal of Vascular Surgery
Volume 49, Issue 1 , Pages 4-10 , January 2009

Supra-aortic vessels aneurysms: Diagnosis and prompt intervention

  • Marcelo Cury, MD

      Affiliations

    • Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Roy K. Greenberg, MD

      Affiliations

    • Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
    • Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
    • Corresponding Author InformationCorrespondence: Roy K. Greenberg, MD, S40, Department of Vascular Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195
  • ,
  • Jose P. Morales, MD

      Affiliations

    • Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Walid Mohabbat, MBBS

      Affiliations

    • Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Adrian V. Hernandez, MD, PhD

      Affiliations

    • Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, Ohio

Received 19 June 2008 ,Accepted 27 August 2008.

  • Image Result

    Histogram represents the age at presentation in the three different age groups correlated with etiology.

    Histogram represents the age at presentation in the three different age groups correlated with etiology.

  • Image Result

    A, 3D reconstruction of a computed tomography (CT) scan shows a normal aortic arch with a left subclavian aneurysm and a tortuous aneurysmatic right vertebral artery. B, Same patient postintervention

    A, 3D reconstruction of a computed tomography (CT) scan shows a normal aortic arch with a left subclavian aneurysm and a tortuous aneurysmatic right vertebral artery. B, Same patient postintervention demonstrates a patent left subclavian stent in situ (arrow), a right vertebral to right carotid transposition (arrow) excluding the vertebral aneurysm, and retrograde flow to the left vertebral artery through the posterior cerebral artery (arrow).

  • Image Result
    A and B, 3D reconstruction computed tomography (CT) scan demonstrates a large left common carotid aneurysm (anterior/posterior [AP] and lateral views).

    A and B, 3D reconstruction computed tomography (CT) scan demonstrates a large left common carotid aneurysm (anterior/posterior [AP] and lateral views).

  • Image Result
    A and B, 3D reconstruction computed tomography (CT) scan shows a patent internal carotid stent (arrow) excluding an internal carotid pseudo-aneurysm from a previous open repair with PTFE graft (arrow)

    A and B, 3D reconstruction computed tomography (CT) scan shows a patent internal carotid stent (arrow) excluding an internal carotid pseudo-aneurysm from a previous open repair with PTFE graft (arrow) (anterior/posterior [AP] and lateral views).

  • Image Result
    Kaplan-Meier curve shows freedom from complications in all patients. The solid line represents the Kaplan-Meier survival curve and dotted lines represent the upper and lower 95% confidence intervals.

    Kaplan-Meier curve shows freedom from complications in all patients. The solid line represents the Kaplan-Meier survival curve and dotted lines represent the upper and lower 95% confidence intervals.

  • Image Result
    Kaplan-Meier curve shows overall survival in patients with supra aortic aneurysms. The solid line represents the Kaplan-Meier survival curve and dotted lines represent the upper and lower 95% confiden

    Kaplan-Meier curve shows overall survival in patients with supra aortic aneurysms. The solid line represents the Kaplan-Meier survival curve and dotted lines represent the upper and lower 95% confidence intervals.

 Competition of interest: none.

PII: S0741-5214(08)01449-3

doi: 10.1016/j.jvs.2008.08.088

Journal of Vascular Surgery
Volume 49, Issue 1 , Pages 4-10 , January 2009