AI Article Synopsis

  • - Marfan syndrome is a genetic disorder that affects how the body makes connective tissues, leading to serious vascular issues like aortic problems and peripheral aneurysms.
  • - A specific case is reported involving a patient with ruptured aneurysms in the axillary and left internal mammary arteries, which are major blood vessels in the body.
  • - Treatment included using covered stent grafts and coils to successfully seal off the aneurysms, with follow-up imaging showing that both aneurysms had completely thrombosed and the stent grafts remained open.

Article Abstract

Marfan syndrome is an autosomally inherited disorder affecting the synthesis of connective tissues. Vascular manifestations of Marfan syndrome include aneurysmal dilatation of the aortic root, aortic dissection, and rupture. Peripheral aneurysms are mostly reported in the iliac, femoral, and subclavian arteries. We report a Marfan patient with a ruptured axillary artery aneurysm and a large left internal mammary artery aneurysm. The axillary aneurysm was successfully excluded using covered stent grafts, and the left internal mammary artery aneurysm was effectively coiled. Duplex ultrasound imaging at 4 months and computed tomography at 9 months demonstrated complete thrombosis and exclusion of both aneurysms with patent subclavian-axillary stent grafts.

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http://dx.doi.org/10.1016/j.jvs.2010.08.076DOI Listing

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