Pseudoaneurysm of Brachiocephalic Artery Caused by Blunt Chest Trauma

Introduction

Traumatic aneurysms of the brachiocephalic artery are relatively rare. Aneurysms in this location can cause respiratory symptoms including dyspnea, cough and hypoxia. In rare cases, the aneurysm may even be asymptomatic for many years [[1]]. We present a case of traumatic aneurysm of the brachiocephalic artery caused by a traffic accident and resulting in recurrent episodes of pneumonia, productive cough with purulent sputum, dyspnea and occasional hemoptysis.

References

• 1 Sakamoto H, Hattori T, Watanabe Y, Sakakibara Y. Chronic posttraumatic pseudoaneurysm of the brachiocephalic artery with tracheal obstruction resulting in repeated pneumonia.  Ann Thorac Surg. 2006;  82 1101-1103
• 2 Krausnal S, Shake J G, Yuh D D. Mycotic innominate artery pseudoaneurysm presenting as an embolic stroke.  J Thorac Cardiovasc Surg. 2005;  129 945-946
• 3 Williams J S, Graff J A, Uku J M, Steinig J P. Thoracic aortic injury in vehicular trauma.  Ann Thorac Surg. 1994;  57 726-730
• 4 Kraus T W, Paetz B, Richter G M, Allenberg J R. The isolated posttraumatic aneurysm of the brachiocephalic artery after blunt thoracic contusion.  Ann Vasc Surg. 1993;  7 275-281
• 5 Tehrani H Y, Peterson B G, Katariya K, Morasch M D, Stevens R, DiLuozzo G, Salerno T, Maurici G, Eton D, Eskandari M K. Endovascular repair of thoracic aortic tears.  Ann Thorac Surg. 2006;  82 873-878
• 6 Bower T C, Pairoleo P C, Hallett Jr J W, Toomey B J, Gloviczki P, Cherry Jr K J. Brachiocephalic aneurysm: the case of early recognition and repair.  Ann Vasc Surg. 1991;  5 125-132