Abstract

INTRODUCTION: Innominate Artery Aneurysm account for a small percentage of all

peripheral aneurysms. However, the high risk of spontaneous rupture and thromboembolic
complications should be considered, especially in symptomatic patients. Surgery is always
recommended in such cases. For surgeons, this is a challenge with high morbidity and mortality
rates. In this case report, we present a case of Aneurysm at a innominate Artery with had a
history of hypertension and frequent dizziness.

CASE PRESENTATION: A 42-year-old woman presented with a 3-month history of a mass on

the right side of the neck and frequent dizziness. The patient had a history of hypertension, was a
non-smoker, had no neurological symptoms, and had no previous history of trauma. Physical
examination revealed a pulsating mass under the right angle of the mandible with discomfort. CT
angiogram showed an aneurysm of the innominate artery.

CLINICAL DISCUSSION: After 3-month of a mass on the right side of the neck, subsequently
surgery was performed. It revealed an aneurysm in the fusiform type innominate artery
measuring 3.2 cm and then arterial wrapping from the proximal to the branching of the carotid
artery and subclavian artery. Overall, the patient had a smooth recovery postoperatively.

CONCLUSION: The goal of treatment is to prevent rupture and neurological deficits due to
embolism or thrombosis.