Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492008000200008
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular híbrido de aneurisma da artéria subclávia associado à síndrome de Marfan: relato de caso

Hybrid endovascular treatment of subclavian artery aneurysm associated with Marfan's syndrome: case report

André de Araújo Sacchi; Alzumar Zacarias de Medeiros; Roberto Ribeiro Filho

Downloads: 0
Views: 905

Resumo

Descreve-se o caso de uma paciente feminina de 46 anos com síndrome de Marfan que foi diagnosticada com aneurisma da artéria subclávia direita após cirurgia aberta para reparo de dissecção aórtica tipo A. A paciente foi tratada por abordagem híbrida, que combinou o implante de uma endoprótese recoberta da artéria inominada para a carótida comum direita com uma ponte carótida para a artéria axilar direita. O pós-operatório transcorreu sem complicações, com a confirmação, por ultra-som, do sucesso da exclusão do aneurisma.

Palavras-chave

Artéria subclávia, síndrome de Marfan, procedimento endovascular, endoprótese

Abstract

We report on a 46-year-old female patient with Marfan's syndrome and a right subclavian artery aneurysm following open repair of type A aortic dissection. The patient was treated with a hybrid approach, combining innominate to right common carotid stent grafting and carotid to right axillary artery bypass. The postoperative course was uneventful and a duplex ultrasound confirmed successful aneurysm exclusion.

Keywords

Subclavian artery, Marfan's syndrome, endovascular procedures, stent graft

References

Lawrence PF, Gazak C, Bhirangi L. The epidemiology of surgically repaired aneurysms in the United States. J Vasc Surg. 1999;30:632-40.

Clagget G. Upper extremity aneurysms. Vascular surgery. 2000:1356-69.

May J, White G, Waugh R, Yu W, Harris J. Transluminal placement of a prosthetic graft-stent device for treatment of subclavian artery aneurysm. J Vasc Surg. 1993;18:1056-9.

Schoder M, Cejna M, Holzenbein T. Elective and emergent endovascular treatment of subclavian artery aneurysms and injuries. J Endovasc Ther. 2003;10:58-65.

Dent TL, Lindenauer SM, Ernst CB, Fry WJ. Multiple arteriosclerotic arterial aneurysms. Arch Surg. 1972;105:338-43.

Lakhkar BN, Lakhkar BB, Ghosh MK, Shenoy PD, Patil LID. Congenital subclavian artery aneurysm. Indian Pediatr. 1992;29:1165-8.

Richard D, Stahl MD, Peter F, Lawrence MD, Kiran Bhirangi FRCS. Left subclavian artery aneurysm: two cases of rare congenital etiology. J Vasc Surg. 1999;29:715-8.

Kasirajan K, Matteson B, Marek JM, Langsfeld M. Covered stents for true subclavian aneurysms in patients with degenerative connective tissue disorders. J Endovasc Ther. 2003;10:647-52.

Davidovic L, Markovic D, Pejkic S, Kovacevic N, Colic M, Doric P. Subclavian artery aneurysms. Asian J Surg. 2003;26:7-11.

Douglas DA, Adelman MA, Esposito R, Rockman C. Surgical repair of a left subclavian artery aneurysm causing stenosis of a left internal mammary graft-a case report. Vasc Endovasc Surg. 2005;39:281-5.

Hilfiker PR, Razavi MK, Kee ST, Sze DY, Semba CP, Dake MD. Stent-graft therapy for subclavian artery aneurysms and fistulas: singlecenter mid-term results. J Vasc Interv Radiol. 2000;11:578-84.

May J, White G, Waugh R, Yu W, Harris J. Transluminal placement of a prosthetic graft-stent device for treatment of subclavian artery aneurysm. J Vasc Surg. 1993;18:1056-9.

Xenos ES, Freeman M, Stevens S, Cassada D, Pacanowski J, Goldman M. Covered stents for injuries of subclavian and axillary arteries. J Vasc Surg. 2003;38:451-4.

Domínguez González JM, Álvarez García B, Lebrun JM, Docampo MM. Combined surgery for the treatment of bilateral subclavian artery aneurysm in Marfan syndrome. J Vasc Surg. 2007;45:180-2.

Resch TA, Lyden SP, Gavin TJ, Clair DG. Combined open and endovascular treatment of a right subclavian artery aneurysm: a case report. J Vasc Surg. 2005;42:1206-9.

Salo JA, Ala-Kulju K, Heikkinen L. Diagnosis and treatment of subclavian artery aneurysms. Eur J Vasc Surg. 1990;4:271-274.

Doughert MJ, Calligaro KD, Savarese RP. Atherosclerotic aneurysm of the ibtrathoracic subclaviana artery: a case report and review of literature. J Vasc Surg. 1995;21:521-9.

Wong JM, Shermak MA, Tihan T. A subclavian artery aneurysm in a patient with HIV infection: a case report. J Vasc Surg. 2002;35:1006-9.

MacSweeney ST, Holden A, Harltley D. Endovascular repair of subclavian antery aneurysm. J Vasc Surg. 1996;24:304-5.

Becker GJ, Benenati JF, Zemel G. Percutaneous placement of a ballon-expandable intraluminal graft for life threatening subclavian arterial hemorrhage. J Vasc Interv Radiol. 1991;2:225-9.

Kasirajan K. Salvage of failed stent-graft: expanded indication for percutaneous thrombin injection. Am J Surg. 2002;183:600-1.

Fee HJ, Gewirtz HS, O'Connell TX. Bilateral subclavian artery aneurysms associated a idiopathic cystic medial necrosis. An Thorac Surg. 1978;26:387-90.

Krayembul H, Yasargil MG. Cerebral angiography. 1982.

Picard L, Bracard S, Roland J, Anxionnat R, Braun M, Blanchet B. Vaisseaux cervicaux à destine encephalique. Encyclopedie Médicale Chirurgicale: Radiodiagnostic-squelett normal. 1993:30-860-A-10.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd6c7e0e88257e551da3f4 jvb Articles

J Vasc Bras

Share this page
Page Sections