Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.200042
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular de aneurisma de artéria torácica interna esquerda

Endovascular treatment of left internal thoracic artery aneurysm

Milton Sérgio Bohatch Júnior; Tércio Tanure Júnior; André Luiz de Oliveira; Maurício Serra Ribeiro; Edwaldo Edner Joviliano

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Resumo

Resumo: O aneurisma da artéria torácica interna é uma entidade rara, com apresentação variável e risco potencial de ruptura e de morte. A angiotomografia é o exame diagnóstico de escolha, sendo útil para o planejamento terapêutico. Considerando morbidade do acesso torácico para abordagem direta e o risco imprevisível de ruptura, o procedimento endovascular se apresenta como modalidade terapêutica de escolha para tratamento desse tipo de aneurisma. Descrevemos um caso de aneurisma de artéria torácica interna, com descoberta incidental na investigação de síncope tratado com embolização com micromolas de baixo perfil e de liberação controlada.

Palavras-chave

aneurisma, artéria torácica interna, procedimentos endovasculares

Abstract

Aneurysm of the internal thoracic artery is a rare entity, with variable presentation and a potential risk of fatal rupture. Angiotomography is the diagnostic test of choice and is useful for planning treatment. Considering the morbidity of thoracic access for a direct approach and the unpredictable risk of rupture, an endovascular procedure is the treatment modality of choice for this type of aneurysm. We describe the case of an internal thoracic artery aneurysm discovered incidentally during investigation of syncope and treated by embolization with low-profile and controlled-release microcoils.

Keywords

aneurism; mammary arteries; endovascular procedures.

References

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