Piffaretti Gabriele, Carrafiello Gianpaolo, Franchin Marco, Ierardi Anna Maria, Mariscalco Giovanni, Castelli Patrizio, Trimarchi Santi
Vascular Surgery, Department of Surgery and Morphological Sciences, Circolo University Hospital, University of Insubria School of Medicine, Varese, Italy.
Interventional Radiology, Department of Surgery and Morphological Sciences, Circolo University Hospital, University of Insubria School of Medicine, Varese, Italy.
Ann Vasc Surg. 2015 Oct;29(7):1452.e11-5. doi: 10.1016/j.avsg.2015.04.072. Epub 2015 Jul 9.
We present the case of a 49-year-old woman diagnosed with Sneddon's syndrome and previous endovascular embolization for cerebral and left renal artery aneurysms. The aneurysm was asymptomatic and incidentally detected as coin opacity at a preoperative X-ray performed for breast surgery. The 13-mm saccular left internal thoracic artery aneurysm engaged through a percutaneous left brachial artery access was successfully excluded with a stent graft. A 6-month follow-up computed tomography angiography confirmed the exclusion of the aneurysm, the patency of the internal thoracic artery, and the absence of endoleak or edge stenoses. True aneurysm of the internal thoracic artery is a rare entity. Stent-graft repair is a viable end effective alternative treatment for the exclusion of this lesion.
我们报告一例49岁女性，被诊断为斯内登综合征，既往曾因脑动脉瘤和左肾动脉瘤接受血管内栓塞治疗。该动脉瘤无症状，在为乳房手术进行的术前X线检查中偶然发现为钱币状不透光区。通过经皮左肱动脉入路处理的13毫米囊状左胸廓内动脉瘤，成功地使用覆膜支架进行了封堵。6个月的随访计算机断层血管造影证实动脉瘤已被封堵，胸廓内动脉通畅，且无内漏或边缘狭窄。胸廓内动脉真性动脉瘤是一种罕见的疾病。覆膜支架修复是排除该病变的一种可行且有效的替代治疗方法。
