Endovascular Repair of Bilateral Internal Mammary Artery Aneurysms in a Patient with Marfan Syndrome

Mertens, R; Velásquez, Fernando; Vargas, Jose; Bergoeing, Michel; Marine, L; Torrealba, José Ignacio

doi:10.1016/j.avsg.2019.10.045

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Even if nearly all the IMA aneurysms in MFS reported in the literature appeared years after cardiac surgery ( 8 , 10 , 11 , 40 ), the connection between cardiac surgery and aneurysm formation is yet undetermined. In the reported case of Mertens et al ( 41 ), the aneurysms presented at the age of 39 years without prior surgical or endovascular intervention.…”

Section: Discussionmentioning

confidence: 94%

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Case Report: Morphological Characterization and Long-Term Observation of Bilateral Sequential Internal Mammary Artery Aneurysms in a Patient With Confirmed FBN1 Mutation

Stengl

Ágg

Szilveszter

et al. 2021

Front. Cardiovasc. Med.

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Marfan syndrome (MFS) is a genetically determined connective tissue disorder that leads to ocular, skeletal, and severe cardiovascular involvement. High mortality of MFS is associated with aortic dissection and aneurysm characteristic to the syndrome. In MFS, only a few cases of peripheral arterial involvement have been reported so far, mostly without a genetically confirmed diagnosis. We report a 41-year-old MFS patient with a saccular pearl-string-like aneurysm on the right internal mammary artery (RIMA) and a single aneurysm on the left internal mammary artery (LIMA). To our knowledge this is the first reported case on internal mammary artery aneurysms with this special morphology and with follow-up and blood pressure control as primary therapeutic approach in a patient with genetically confirmed MFS. The aneurysms with the above described morphology first appeared as small aneurysms on a CT scan 6 years after a cardiac operation. Due to the lack of guidelines, based on the asymptomatic state of the patient, the increased tortuosity of the affected vessels and the history of prior cardiac surgery, we decided to closely monitor these aneurysms with blood pressure control and without carrying out any interventions. On the CT scans done 3, 11, 12, 17, and 32 months after identifying the aneurysms, no progression of these structures was detected. Our findings confirm the possibility of the occurrence of internal mammary artery aneurysms in patients with FBN1 mutation and we believe that monitoring these aneurysms with blood pressure management can be a suitable option in selected cases.

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Section: Discussionmentioning

confidence: 94%

“…A LIMA aneurysm measuring 6 × 4.6 cm presented with acute symptoms in the report by Rose et al ( 10 ). Mertens et al ( 41 ) demonstrated the occurrence of a 2.8 cm RIMA- and a 2.2 cm LIMA aneurysm in a patient.…”

Section: Discussionmentioning

confidence: 94%

Case Report: Morphological Characterization and Long-Term Observation of Bilateral Sequential Internal Mammary Artery Aneurysms in a Patient With Confirmed FBN1 Mutation

Stengl

Ágg

Szilveszter

et al. 2021

Front. Cardiovasc. Med.

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“…They occur more often in patients with connective tissue disorders, infection, vasculitis, thoracic trauma or following thoracic surgery 11. They are prone to rupture, leading to potentially life-threatening situations such as haemomediastinum or hemothorax 9 10 12…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of breast pseudoaneurysm: a rare case

Mafra,

Pires,

Andrade

et al. 2023

BMJ Case Rep

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Ehlers-Danlos syndrome (EDS) type IV is a hereditary autosomal dominant disease associated with skin and vascular fragility, hyperextensibility and joint hypermobility. Spontaneous arterial rupture is one of its higher-risk features.The authors describe a case of a woman with EDS type IV who presented with a spontaneous breast haematoma associated with a pseudoaneurysm of a branch of the left internal mammary artery. The patient underwent a minimally invasive endovascular approach that was uneventful. However, 6 months later, she presented in the emergency room with a similar episode on the contralateral breast. There were no signs of active bleeding, and she stayed under surveillance. Nine months later, she was asymptomatic.Aneurysms of branches of the internal mammary artery are rare and prone to rupture. Early diagnosis and treatment are imperative, and this case demonstrates that an endovascular approach is a safe treatment option.

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Endovascular Repair of Bilateral Internal Mammary Artery Aneurysms in a Patient with Marfan Syndrome

Cited by 2 publications

References 13 publications

Case Report: Morphological Characterization and Long-Term Observation of Bilateral Sequential Internal Mammary Artery Aneurysms in a Patient With Confirmed FBN1 Mutation

Case Report: Morphological Characterization and Long-Term Observation of Bilateral Sequential Internal Mammary Artery Aneurysms in a Patient With Confirmed FBN1 Mutation

Spontaneous rupture of breast pseudoaneurysm: a rare case

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