title: Surgical approach to left subclavian artery aneurysm in Marfan syndrome.
abstract: We present a case of left subclavian artery aneurysm in a 48-year-old man with Marfan syndrome. Aneurysmectomy and interposition with an artificial graft were successfully performed through an infraclavicular incision by dividing the clavicle at its midshaft. The clavicle bone was reconstructed with a steel plate, and the postoperative course was uneventful. Because the arterial wall is fragile in cases of connective tissue disorders such as Marfan syndrome, our surgical approach was considered to be helpful for gentle maneuvering in an adequate operative field.
authors: Department of Cardiovascular Surgery, Kansai Rousai Hospital, 3-1-69 Inabaso, Amagasaki, Hyogo 660-8511, Japan. ybito@med.osaka-cu.ac.jp
authors: Yasuyuki
authors: Y
authors: Bito
authors: Masayuki
authors: M
authors: Sakaki
authors: Kumiko
authors: K
authors: Uji
authors: Kazushige
authors: K
authors: Inoue
authors: Yoshiteru
authors: Y
authors: Yoshioka
authors: Hiroki
authors: H
authors: Mizoguchi
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008382:Marfan Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging