Abstract
A man with Marfan syndrome underwent a Bentall procedure for annuloaortic ectasia and severe aortic regurgitation at 43 years of age. Twenty-eight years after the Bentall procedure, he developed bilateral axillary artery aneurysms (length × diameter: right: 80 × 39 mm; left: 103 × 45 mm). Aneurysmectomy and reconstruction of the axillary artery were performed using an artificial vascular graft. Histological examination revealed cystic medial necrosis. The postoperative course was uneventful, but long-term follow-up is necessary.
Keywords:
Aneurysm; Axillary artery; Blood vessel prosthesis implantation; Cystic medial necrosis of aorta; Marfan syndrome; Subclavian artery.
© The Author(s) 2014.
MeSH terms
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Adult
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Aged
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Aneurysm / diagnosis
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Aneurysm / etiology*
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Aneurysm / surgery
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Aortic Aneurysm, Thoracic / diagnosis
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Aortic Aneurysm, Thoracic / etiology
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Valve Insufficiency / diagnosis
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Aortic Valve Insufficiency / etiology
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Aortic Valve Insufficiency / surgery*
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Axillary Artery* / diagnostic imaging
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Axillary Artery* / surgery
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Biopsy
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / adverse effects*
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Blood Vessel Prosthesis Implantation / instrumentation
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Cysts / diagnosis
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Cysts / etiology*
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Cysts / surgery
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Heart Valve Prosthesis
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Heart Valve Prosthesis Implantation / adverse effects*
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Heart Valve Prosthesis Implantation / instrumentation
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Humans
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Male
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Marfan Syndrome / complications
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Marfan Syndrome / diagnosis
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Marfan Syndrome / surgery*
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Necrosis
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Reoperation
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Time Factors
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Tomography, X-Ray Computed
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Treatment Outcome
Supplementary concepts
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Aortic Aneurysm, Familial Thoracic 1