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Ann Thorac Surg 2006;82:1101-1103
© 2006 The Society of Thoracic Surgeons


Case report

Chronic Post-Traumatic Pseudoaneurysm of the Brachiocephalic Artery With Tracheal Obstruction Resulting in Repeated Pneumonia

Hiroaki Sakamoto, MDa,*, Takashi Hattori, MDa, Yasunori Watanabe, MD, PhDa, Yuzuru Sakakibara, MD, PhDb

a Department of Cardiovascular Surgery, Hitachi General Hospital, Hitachi, Ibaraki, Japan
b Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

Accepted for publication January 18, 2006.

* Address correspondence to Dr Sakamoto, Department of Cardiovascular Surgery, Hitachi General Hospital, 2-1-1, Jonan, Hitachi, Ibaraki, 317-0077 Japan (Email: sakamotoh{at}aol.com).

Posttraumatic pseudoaneurysms of the brachiocephalic artery are relatively rare. We report the case of a 64-year-old man who presented with a large posttraumatic brachiocephalic aneurysm and recurrent pneumonia. Further examination revealed tracheal obstruction by the aneurysm. The patient underwent aneurysmectomy and ascending aorta-right subclavian artery bypass with retrograde cerebral perfusion under circulatory arrest. The patient's postoperative course was uneventful and his respiratory symptoms resolved. The interesting feature of this case is the presenting symptom of recurrent pneumonia, which is an uncommon complication of this type of aneurysm.







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