AORTA, Table of Contents CC BY 4.0 · Aorta (Stamford) 2021; 09(06): 231-232DOI: 10.1055/s-0041-1736653 Images in Aortic Disease Massive Sternal Osteophyte Compressing Aortic Arch Branch Graft Hesham Ellauzi 1 Department of Surgery, Division of Cardiac Surgery, Aortic Institute, Yale New Haven Hospital, New Haven, Connecticut 2 Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Yale New Haven Hospital, New Haven, Connecticut , Jonathan Cardella 3 Section of Vascular Surgery, Yale School of Medicine, New Haven, Connecticut , Mohammad A. Zafar 1 Department of Surgery, Division of Cardiac Surgery, Aortic Institute, Yale New Haven Hospital, New Haven, Connecticut , Bulat A. Ziganshin 1 Department of Surgery, Division of Cardiac Surgery, Aortic Institute, Yale New Haven Hospital, New Haven, Connecticut 4 Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University, Kazan, Russia , John A. Elefteriades 1 Department of Surgery, Division of Cardiac Surgery, Aortic Institute, Yale New Haven Hospital, New Haven, Connecticut› Author AffiliationsRecommend Article Abstract Abstract We present a dramatic computed tomography scan demonstrating compression of a brachiocephalic graft by a massive sternal osteophyte, coming to light many years after aortic arch replacement surgery. Keywords Keywordsbrachiocephalic artery - sternal osteophyte - stenosis Full Text References References 1 Thomas B, Barreau X, Pointillart V, Sibon I, Renou P. Endovascular embolization of a nondominant vertebral artery compressed by an osteophyte to prevent recurrence of vertebrobasilar infarctions. J Stroke Cerebrovasc Dis 2015; 24 (09) e257-e259 2 Lee CC, Chou YH, Chen TW. et al. Engorgement of brachiocephalic vein after creation of an AV fistula–a result of sternoclavicular joint osteophyte. Nephrol Dial Transplant 1999; 14 (03) 757-759 3 Ikedo T, Nakamura K, Sano N. et al. Extracranial internal carotid artery dissection caused by compression from a giant osteophyte due to atlantoaxial osteoarthritis: case report. J Neurosurg Spine 2017; 27 (04) 410-414 4 Booka E, Kawakubo H, Ishii K. et al. Superior mesenteric artery syndrome caused by massive lumbar osteophytes: a case report. Spine 2015; 40 (15) E909-E912