Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2018)

Coil embolization of bilateral internal mammary artery aneurysms is durable in a patient with Marfan syndrome

  • Toshiki Fujiyoshi, MD,
  • Toshiya Nishibe, MD, PhD,
  • Nobusato Koizumi, MD, PhD,
  • Hitoshi Ogino, MD, PhD

DOI
https://doi.org/10.1016/j.jvscit.2018.04.007
Journal volume & issue
Vol. 4, no. 3
pp. 216 – 219

Abstract

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Internal mammary artery (IMA) aneurysms are very rare, have a high risk of rupture, and can cause hemothorax. Here, we report the case of a 33-year-old man with metachronal and bilateral IMA aneurysms. He had Marfan syndrome diagnosed by genetic testing. We carried out endovascular repair with coil embolization. He has survived without additional treatment for 7 years. Endovascular repair of metachronal and bilateral IMA aneurysms is feasible even in a patient with Marfan syndrome. Keywords: Internal mammary artery aneurysms, Marfan syndrome, Endovascular repair