Sato Hiroshi, Naraoka Syuichi
Department of Cardiovascular Surgery, Hakodate Goryoukaku Hospital, Hakodate, Hokkaido, Japan.
Ann Vasc Dis. 2018 Mar 25;11(1):134-137. doi: 10.3400/avd.cr.17-00107.
An axillary arterial aneurysm is a rare disorder, with few surgical cases reported to date. Here we report the case of a left axillary arterial aneurysm associated with Marfan syndrome. A 44-year-old female with Marfan syndrome presented with numbness of the left upper limb and a pulsatile mass on the left chest. A computed tomography scan revealed a highly enlarged and tortuous left axillary arterial aneurysm. We performed a graft replacement and resection of the aneurysm with two skin incisions. After the surgery, the blood flow to the patient's left upper limb was confirmed, and the neurological symptoms improved significantly.
腋动脉瘤是一种罕见的疾病，迄今为止报道的手术病例很少。在此，我们报告一例与马凡综合征相关的左腋动脉瘤病例。一名44岁患有马凡综合征的女性，出现左上肢麻木和左胸部搏动性肿块。计算机断层扫描显示左腋动脉瘤高度扩张且迂曲。我们通过两个皮肤切口进行了动脉瘤的移植置换和切除术。手术后，确认了患者左上肢的血流，神经症状明显改善。
