Intrathoracic aneurysm of the innominate and right subclavian arteries: Report of a case

Aneurysms of the innominate and subclavian arteries are uncommon but associ ated with high mortality rates. We report herein the case of a 45-year-old man who presented with facial anhidrosis that developed several years after blunt thoracic trauma, in whom an aneurysm involving the innominate and su bclavian arteries was revealed by preoperative examinations. Resection of t he aneurysm and reconstruction from the ascending aorta to both the subclav ian and common carotid arteries using a bifurcated graft was successfully p erformed without brain perfusion. Although the left posterior cerebral arte ry, which was not manipulated during surgery, became occluded, it was recan alized by thrombolysis. The patient was discharged in good health and has r emained well since.