A braciocephalic aneurysm repaired with hybrid operation

Purpose: Aneurysm of arteries branching from the aortic arch such as the subclavian artery, brachiocephalic artery, common carotid artery, internal and external carotid artery, cervical part of the vertebral artery is an uncommon condition.. Hemorrhage shock and death could result from rupture of the aneurysm into the lung, pleural space, esophagus and the trachea. Treatment of supra-aortic aneurysms may be tricky and there is no standard treatment for these aneurysms. Open surgery imposes high mortality rate, while endovascular treatment alone may not eradicate all the lesion in case of infectious aneurysm. Methods: We report a case of rupture of infectious brachiocephalic aneurysm. Result: Hybrid operation was performed with carotd- carotid bypass and brachiocephacic artery stentgraft placement