COMBINED SURGICAL AND ENDOVASCULAR TREATMENT OF A TRAUMATIC PSEUDO-ANEURYSM OF THE BRACHIOCEPHALIC TRUNK WITH ANATOMICAL ANOMALY

The authors report a case of combined surgical and endovascular treatm ent of a traumatic pseudo-aneurysm of the innominate artery in which t he left com mon carotid artery originated from the brachiocephalic tru nk. After a conventional surgical intervention with the implantation o f the left common artery on the left subclavian artery, to correct the anatomic anomaly, a safe and effective endovascular stent-graft place ment excluded the aneurysm. This new technique proposes a good chance for polytraumatized patients to receive a better prognosis and a much faster rehabilitation.