Clinical and anatomical variants of the aortic arch: kinking and aneurysm of aortic arch. Case-report study of surgical treatment

A.D. Gaibov

Avicenna Tajik State Medical University

O. Nematzoda

Republican Research Center for Cardiovascular Surgery

E.L. Kalmykov

Helios University Hospital

F.K. Sharipov

Department of Surgical Diseases «Abuali Ibni Sino Tajik State Medical University»

Clinical and anatomical variants of the aortic arch: kinking and aneurysm of aortic arch. Case-report study of surgical treatment

Authors:

A.D. Gaibov, O. Nematzoda, E.L. Kalmykov, F.K. Sharipov

More about the authors

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(1): 46‑50

DOI: 10.17116/operhirurg2022601146

Downloaded: 74

To cite this article:

Gaibov AD, Nematzoda O, Kalmykov EL, Sharipov FK. Clinical and anatomical variants of the aortic arch: kinking and aneurysm of aortic arch. Case-report study of surgical treatment. Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(1):46‑50. (In Russ., In Engl.)
https://doi.org/10.17116/operhirurg2022601146

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BACKGROUND

Thoracic aortic aneurysm is a potentially life threating disease, with mortality from rupture about 100%. Isolated aortic arch aneurysms are rare. One of the most rare causes of aneurysms is kinking of the aortic arch.

OBJECTIVE

Demonstration of successful surgical treatment of rare aortic arch anomalies.

DESCRIPTION OF THE CASE

By 29-year-old patient, with hypertension and intermittent claudication symptoms, kinking and aneurysm of the aortic arch were diagnosed. Family history is unremarkable. The patient underwent resection of the aneurysm with end-to-end anastomosis. The follow up period was 6 months. There was no pathological course of the postoperative period.

CONCLUSION

Aneurysm of the aortic arch due to kinking is an extremely rare pathology. Its surgical correction, despite its complexity, is accompanied with a good postoperative results.

Keywords:

aortic arch aneurysm

aortic arch kinking

aortic arch surgery

Authors:

A.D. Gaibov

Avicenna Tajik State Medical University

O. Nematzoda

Republican Research Center for Cardiovascular Surgery

E.L. Kalmykov

Helios University Hospital

F.K. Sharipov

Department of Surgical Diseases «Abuali Ibni Sino Tajik State Medical University»

Received:

30.08.2021

Accepted:

15.10.2021

List of references:

Shengli Li, Huaxuan Wen, Meiling Liang, Dandan Luo, Yue Qin, Yimei Liao, Shuyuan Ouyang, Jingru Bi, Xiaoxian Tian, Errol R Norwitz, Guoyang Luo Congenital abnormalities of the aortic arch: revisiting the 1964 Stewart classification. Cardiovasc Pathol. 2019;39:38-50. https://doi.org/10.1016/j.carpath.2018.11.004
Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. Radiographics. 2017;37(1):32-51. https://doi.org/10.1148/rg.2017160033
Türkvatan A, Büyükbayraktar FG, Olçer T, Cumhur T.Congenital anomalies of the aortic arch: evaluation with the use of multidetector computed tomography. Korean J Radiol. 2009;10(2):176-84. https://doi.org/10.3348/kjr.2009.10.2.176
Braunwald’s Heart Disease E-Book: A Textbook of Cardiovascular Medicine. Peter Libby, Robert O. Bonow, Douglas L. Mann, Gordon F Tomaselli, Douglas P. Zipes. 2018.
Kalmykov EL, Shtelmuller M, Mar S, Ehrlich M. Successful surgical treatment of patients with perforation of the ascending aorta aneurysm. Vestnik Avicenny [Avicenna Bulletin]. 2016;1:44-47. (In Russ.).
Manetta F, Newman J, Mattia A. Indications for Thoracic EndoVascular Aortic Repair (TEVAR): A Brief Review. Int J Angiol. 2018;27(4):177-184. https://doi.org/10.1055/s-0038-1666972
Preventza O, Aftab M, Coselli JS. Hybrid techniques for complex aortic arch surgery. Tex Heart Inst J. 2013;40(5):568-571.
Isselbacher EM, Lino Cardenas CL, Lindsay ME. Hereditary Influence in Thoracic Aortic Aneurysm and Dissection. Circulation. 2016;133(24):2516-2528. https://doi.org/10.1161/CIRCULATIONAHA.116.009762
Pinard A, Jones GT, Milewicz DM. Genetics of Thoracic and Abdominal Aortic Diseases. Circ Res. 2019;124(4):588-606. https://doi.org/10.1161/CIRCRESAHA.118.312436
Sultanov DD, Gaibov AD, Kamolov AN, Kalmykov EL. Successful surgical repair of aortic-arch tortuosity and aneurysm. Angiologiya i sosudistaya khirurgiya. 2009;15(4):119-121. (In Russ.).
Tobinaga S, Akashi H, Okazaki T, Ishihara K, Akaiwa K, Aoyagi S. Congenital kinking of aortic arch associated with thoracic aortic aneurysm. Asian Cardiovasc Thorac Ann. 2006;14(3):263. https://doi.org/10.1177/021849230601400322
Thodi Ramamurthy M, Balakrishnan VK, David SAN, Korrapati HS. Congenital kinking of aorta. BMJ Case Rep. 2017;2017:bcr2017220896. https://doi.org/10.1136/bcr-2017-220896
Arakelyan VS, Yaroshuk AS, Sukhareva TV. Experience of surgical treatment of congenital deformity (kinking) of the aortic arch in 64 patients. Byulleten NCSSKH im. A.N. Bakuleva RAMN. Serdechno-sosudistie zabolevaniya. 2005;6(S5):109.
Bockeria LA, Arakelyan VS, Gidaspov NA. Congenital abnormalities of the aortic arch. Diagnostics, management. Grudnaya i serdechno-sosudistaya khirurgiya. 2012;4:14-19.
Arakelyan VS, Gidaspov NA, Papitashvili VG. Rare types of aortic arch aneurysms. Patologiya krovoobrasheniya i kardiokhirurgiya. 2016;20(4):16-25. https://doi.org/10.21688/1681-3472-2016-4-16-25

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