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

Gen Thorac Cardiovasc Surg. 2014 Apr;62(4):238-40. doi: 10.1007/s11748-013-0253-1. Epub 2013 Apr 24.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / surgery*
  • Aortic Dissection / surgery*
  • Brachiocephalic Trunk / pathology*
  • Brachiocephalic Trunk / surgery
  • Carotid Artery, Common / pathology*
  • Carotid Artery, Common / surgery
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Middle Aged
  • Tomography, X-Ray Computed