Hybrid treatment of an isolated immunoglobulin G4-related internal thoracic artery aneurysm

True aneurysms of the internal thoracic artery (ITA) are rare and are associated with vasculitides, connective tissue diseases, and infections. We report a case of a 3-cm immunoglobulin G4-positive ITA aneurysm that was excised by a hybrid approach involving open ligation of the ITA origin and video...

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Bibliographic Details
Published in:Journal of Vascular Surgery Cases and Innovative Techniques
Main Authors: Kelvin Ho, BSc/MBBS, Pragnesh Joshi, MBBS, MS, DNB, MCh, FRACS, Daniel Wong, MBBS, Anna Brusch, MBBS, Joseph Hockley, MBBS, FRACS, Shirley Jansen, MBChB, FRACS, FRCS, PhD
Format: Article
Language:English
Published: Elsevier 2018-12-01
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718300911
Description
Summary:True aneurysms of the internal thoracic artery (ITA) are rare and are associated with vasculitides, connective tissue diseases, and infections. We report a case of a 3-cm immunoglobulin G4-positive ITA aneurysm that was excised by a hybrid approach involving open ligation of the ITA origin and video-assisted thoracoscopic aneurysmectomy. This novel technique was able to acquire tissue for histopathologic diagnosis through a minimally invasive means. Keywords: Pseudoaneurysm, IgG4, Hybrid, Internal mammary artery, Internal thoracic artery
ISSN:2468-4287

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