Alhawasli Hazem, Darki Amir, Lewis Bruce E
Internal Medicine Department, Saint Joseph Hospital, Chicago, Illinois.
Division of Cardiology, Loyola University Medical Center, Chicago, Illinois.
Int J Angiol. 2016 Dec;25(5):e39-e42. doi: 10.1055/s-0034-1378127. Epub 2014 Jun 24.
Marfan syndrome (MFS) is an autosomal dominant condition that is caused by abnormal synthesis of connective tissue. The syndrome classically affects the ocular, musculoskeletal, and cardiovascular systems. The most common cardiovascular manifestations include mitral valve prolapse/regurgitation and aortic aneurysms at high risk of rupture and dissection. However, internal mammary artery (IMA) true aneurysms are rarely reported. In this case report, we describe a 43-year-old male patient with MFS and three previous thoracotomies referred for endovascular repair of bilateral IMA true aneurysms. To the best of our knowledge, there are no cases of endovascular treatment of bilateral IMA true aneurysms reported in the literature.
马凡综合征(MFS)是一种常染色体显性疾病,由结缔组织异常合成引起。该综合征典型地影响眼、肌肉骨骼和心血管系统。最常见的心血管表现包括二尖瓣脱垂/反流以及有破裂和夹层高风险的主动脉瘤。然而,胸廓内动脉(IMA)真性动脉瘤很少被报道。在本病例报告中,我们描述了一名43岁患有马凡综合征且曾接受过三次开胸手术的男性患者,因双侧IMA真性动脉瘤接受血管内修复治疗。据我们所知,文献中尚无双侧IMA真性动脉瘤血管内治疗的病例报道。