Bilateral axillary artery aneurysms after Bentall procedure in Marfan syndrome

Asian Cardiovasc Thorac Ann. 2015 Nov;23(9):1072-4. doi: 10.1177/0218492314532278. Epub 2014 Apr 14.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Aneurysm / diagnosis
  • Aneurysm / etiology*
  • Aneurysm / surgery
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery*
  • Axillary Artery* / diagnostic imaging
  • Axillary Artery* / surgery
  • Biopsy
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Cysts / diagnosis
  • Cysts / etiology*
  • Cysts / surgery
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Humans
  • Male
  • Marfan Syndrome / complications
  • Marfan Syndrome / diagnosis
  • Marfan Syndrome / surgery*
  • Necrosis
  • Reoperation
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome

Supplementary concepts

  • Aortic Aneurysm, Familial Thoracic 1