Left gastric artery aneurysm in Marfan syndrome: a unique case
| Autor: | Girish Bommayya, Richard Oliver Powell, Suresh B Babu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Marfan syndrome
Male Risk Abdominal pain medicine.medical_specialty Percutaneous Left gastric artery Article Marfan Syndrome Blood Vessel Prosthesis Implantation Aneurysm Celiac Artery medicine.artery medicine Humans cardiovascular diseases Aged business.industry On warfarin Mechanical Aortic Valve Anticoagulants General Medicine medicine.disease Thrombosis Embolization Therapeutic Surgery Abdominal Pain Aortic Dissection Heart Valve Prosthesis cardiovascular system Radiology Warfarin medicine.symptom business Aortic Aneurysm Abdominal |
| Popis: | A 78-year-old man presented with abdominal pain, high International Normalised Ratio and rapidly falling haemoglobin. He had a background of Marfan syndrome and was on warfarin following mechanical aortic valve replacement. Abdominal CT imaging showed haemoperitoneum with a leaking aneurysm of the left gastric artery measuring 10 mm in diameter. The decision whether to reverse his anticoagulation provided a difficult clinical scenario given the risk of thrombosis associated with the mechanical aortic valve. The patient went on to have a successful percutaneous embolisation of the aneurysm using a metallic coil and Onyx. Left gastric artery aneurysms are rare and have a reported mortality of up to 70%. This is the first case of gastric artery aneurysm described in a patient with Marfan syndrome. |
| Databáze: | OpenAIRE |
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