Approaching a Brachiocephalic Artery Aneurysm With Porcelain Aorta

Approaching a Brachiocephalic Artery Aneurysm With Porcelain Aorta

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Brachiocephalic arterial trunk aneurysms, comprising 3% of Dryer Anti-Wrinkle Balls supraaortic aneurysms, often manifest with local compression, thrombosis, or embolization.Surgical exclusion is preferred because of the risks of embolism and aneurysm rupture.We describe the case of a 51-year-old man with a pulsatile neck mass, a 48-mm brachiocephalic trunk aneurysm, and a porcelain CAL/ MAG ORANGE aorta.Surgical steps included cannulation, aortic replacement, aortic root treatment, and coronary artery bypass.

The patient recovered well postoperatively, and he was discharged on day 5 with no complications.Aortic arch aneurysms, primarily atherosclerotic aneurysms, pose challenges, especially in patients with a porcelain aorta, thus necessitating meticulous surgical planning for optimal outcomes and risk mitigation.