Myopericytoma of the axillary artery in a 4-year-old girl presenting with stroke and subsequent progression of micro-isolated lesion

Kentaro Kasa, MD; Kota Shukuzawa, MD, PhD; Hirotsugu Ozawa, MD, PhD; Yoshihiko Chono, MD; Ai Iwauchi, MD; Kae Kawachi, MD, PhD; Takao Ohki, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Oct 2024)

Myopericytoma of the axillary artery in a 4-year-old girl presenting with stroke and subsequent progression of micro-isolated lesion

Kentaro Kasa, MD,
Kota Shukuzawa, MD, PhD,
Hirotsugu Ozawa, MD, PhD,
Yoshihiko Chono, MD,
Ai Iwauchi, MD,
Kae Kawachi, MD, PhD,
Takao Ohki, MD, PhD

Affiliations

Kentaro Kasa, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Kota Shukuzawa, MD, PhD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Hirotsugu Ozawa, MD, PhD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Yoshihiko Chono, MD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Ai Iwauchi, MD: Department of Pathology, The Jikei University School of Medicine, Tokyo, Japan
Kae Kawachi, MD, PhD: Department of Pathology, The Jikei University School of Medicine, Tokyo, Japan
Takao Ohki, MD, PhD: Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan; Correspondence: Takao Ohki, MD, PhD, Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan

Journal volume & issue: Vol. 10, no. 5
p. 101493

Abstract

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A 4-year-old girl presented with complaints of transient speech disorder and left-sided weakness. Magnetic resonance imaging revealed multiple strokes, computed tomography showed a right axillary artery aneurysm of 40 mm, and an angiogram indicated retrograde embolism. She underwent aneurysm resection and reconstruction with a saphenous vein graft. Two years after surgery, a mass lesion occurred in the native artery on the proximal side of the prior surgical anastomosis. Surgical resection and reconstruction were performed. An isolated 1-mm diameter lesion was found in the retrospectively reviewed completion angiogram from the initial surgery, which was the origin of the subsequent progressive lesion. The pathological examination, including after the initial surgery, revealed a myopericytoma.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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