Endovascular Repair of Bilateral Internal Mammary Artery Aneurysms in a Patient with Marfan Syndrome.

Autor:	Mertens RA; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: renatomertens@gmail.com., Velasquez FA; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile., Vargas JF; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile., Bergoeing MP; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile., Marine LA; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile., Torrealba JI; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jazyk:	angličtina
Zdroj:	Annals of vascular surgery [Ann Vasc Surg] 2020 Apr; Vol. 64, pp. 411.e1-411.e4. Date of Electronic Publication: 2019 Oct 19.
DOI:	10.1016/j.avsg.2019.10.045
Abstrakt:	Background: True internal mammary artery aneurysms are rare but rupture has been described. Case Report: A 39-year-old male patient with Marfan syndrome was diagnosed with large asymptomatic bilateral internal mammary artery aneurysms (IMAAs) on contrast-enhanced CT scan, without other arterial lesions. Both aneurysms were coil embolized, a stent graft was deployed in the left subclavian artery to cover a wide neck that precluded complete and safe embolization of the left IMAA. Reintervention on the right side was performed 5 years later due to recanalization. Eight years after the initial procedure, the patient presented with a type A aortic dissection that was successfully repaired. Conclusions: Although extremely rare, endovascular treatment should be considered to prevent rupture of internal mammary artery aneurysms. (Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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