Large-Sized Bilateral Axillary Artery Aneurysms in a Patient with Marfan Syndrome: A Case Report

Abstract

A 46-year-old man presented with large bilateral aneurysm of the axillary arteries combined with Marfan syndrome. Treatment consisted of axillary aneurysm resection and vessel replacement. Postoperative computed tomographic angiography confirmed good flow in the bilateral axillary artery, and the patient recovered without complication.

Endovascular Treatment of Massive Axillary Artery Aneurysm for Palliation

“…6 Although a rarity, Marfan syndrome can lead to cystic medial necrosis, which contributes to the development of axillary artery aneurysms. 8…”

Large-Sized Bilateral Atherosclerotic Axillary Artery Aneurysms: A Case Report

“…In the literature, axillary artery aneurysms are mostly unilateral. Bilateral axillary artery aneurysms were only reported in two Marfan syndrome patients [ 7 8 ]. However, thrombus in the aneurysmal lumen, which are used for differential diagnosis of atherosclerotic aneurysms, were not reported in either of the Marfan syndrome patients [ 3 ].…”

Bilateral axillary artery aneurysms after Bentall procedure in Marfan syndrome

“…5 Axillary artery aneurysms in Marfan syndrome are quite rare, and only 3 cases have been reported, including only one case of bilateral aneurysms. 4,6,7 Axillary artery aneurysms incur thromboembolism with ischemia of the upper limbs, pain, nerve compression disorders, and finally rupture. In our patient, there was no ischemia or neurological disorder, only a sense of pulsation.…”

“…2 The previously reported cases of axillary artery aneurysm in Marfan syndrome also did not have mural thrombi. 4,6,7 The reason for the absence of thrombus within axillary artery aneurysms in Marfan syndrome is unknown.…”