Combined Endovascular Treatment of False Aneurysm of Brachiocephalic Artery With Impending Rupture

This case report describes a false aneurysm of the brachiocephalic artery in a 78-year-old woman who presented at our hospital with dyspnea and chest pain caused by impending rupture. The infectious aneurysm was strongly suspected. Brachiocephalic artery aneurysms are very rare but life-threatening, and are difficult to treat especially in cases of infected false aneurysms. The treatment option performed on the patient was intended to save the patient’s life, despite the risk of worsening the infection. This study indicated that the combined use of endovascular and bypass surgery is an effective strategy for the treatment of brachiocephalic false aneurysms. Clinical Impact We believe that our study makes a significant contribution to the literature because it describes how the treatment option of combining endovascular treatment and artificial vessel bypass surgery successfully saved the patient’s life despite the risk of worsening infection. We believe that this paper will be of interest to the readership of your journal because currently there are no clear guidelines in the literature for the treatment of false aneurysms of the brachiocephalic artery, so case reports are valuable references for cardiologists.