A Rare Case of Dysplastic Axillary Artery Aneurysm Associated with Arteriovenous Malformation.
Aneurysm
/ diagnostic imaging
Arteriovenous Malformations
/ complications
Axillary Artery
/ abnormalities
Axillary Vein
/ abnormalities
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ instrumentation
Embolization, Therapeutic
/ instrumentation
Humans
Male
Middle Aged
Polyethylene Terephthalates
Regional Blood Flow
Treatment Outcome
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
29
12
2019
revised:
25
08
2020
accepted:
20
09
2020
pubmed:
7
11
2020
medline:
8
6
2021
entrez:
6
11
2020
Statut:
ppublish
Résumé
Axillary artery aneurysms are rare conditions, and their causes are various. They can determine severe complications, so the treatment is extremely important. We report the case of a young man affected by a saccular axillary artery aneurysm associated with intramuscular arteriovenous malformation, without symptoms except for the presence of a pulsatile mass. Duplex scan and computed tomography scan have been essential for a correct diagnosis and planning of the treatment. At first, the patient was submitted to coil embolization of an efferent vessel, and then he was treated surgically through ligation and detachment of the aneurysm and replacement of part of the axillary artery with a Dacron graft (Vascutek, Inchinnan, Renfrewshire, Scotland, UK). Follow-up at 1 and 6 months revealed normal patency of the axillary arterty and the prosthetic graft with complete exclusion and thrombosis of the aneurysm sac.No sensitive nor motor deficit were observed. Aneurysms of the axillary artery associated with intramuscular arteriovenous malformations are very rare, but have to be suspected. The treatment is challenging and can be surgical, endovascular, or hybrid, based on the patient's conditions and aneurysm's anatomical features.
Sections du résumé
BACKGROUND
BACKGROUND
Axillary artery aneurysms are rare conditions, and their causes are various. They can determine severe complications, so the treatment is extremely important.
METHODS
METHODS
We report the case of a young man affected by a saccular axillary artery aneurysm associated with intramuscular arteriovenous malformation, without symptoms except for the presence of a pulsatile mass. Duplex scan and computed tomography scan have been essential for a correct diagnosis and planning of the treatment. At first, the patient was submitted to coil embolization of an efferent vessel, and then he was treated surgically through ligation and detachment of the aneurysm and replacement of part of the axillary artery with a Dacron graft (Vascutek, Inchinnan, Renfrewshire, Scotland, UK).
RESULTS
RESULTS
Follow-up at 1 and 6 months revealed normal patency of the axillary arterty and the prosthetic graft with complete exclusion and thrombosis of the aneurysm sac.No sensitive nor motor deficit were observed.
CONCLUSIONS
CONCLUSIONS
Aneurysms of the axillary artery associated with intramuscular arteriovenous malformations are very rare, but have to be suspected. The treatment is challenging and can be surgical, endovascular, or hybrid, based on the patient's conditions and aneurysm's anatomical features.
Identifiants
pubmed: 33157250
pii: S0890-5096(20)30926-2
doi: 10.1016/j.avsg.2020.09.053
pii:
doi:
Substances chimiques
Polyethylene Terephthalates
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
536.e9-536.e14Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.