The importance of accurate angiography in determining the approach to chronic traumatic thoracic aneurysm of the aortic arch

The successful treatment of a chronic traumatic thoracic aneurysm of the aortic arch is described. The use of median sternotomy, cardiopulmonary bypass, and circulatory arrest was essential in the successful treatment of this particular patient. Accurate angiography was critical in defining the detailed pathologic anatomy, which allowed planning of the appropriate operative approach.