title: Bilateral axillary artery aneurysms after Bentall procedure in Marfan syndrome.
abstract: A man with Marfan syndrome underwent a Bentall procedure for annuloaortic ectasia and severe aortic regurgitation at 43 years of age. Twenty-eight years after the Bentall procedure, he developed bilateral axillary artery aneurysms (length × diameter: right: 80 × 39 mm; left: 103 × 45 mm). Aneurysmectomy and reconstruction of the axillary artery were performed using an artificial vascular graft. Histological examination revealed cystic medial necrosis. The postoperative course was uneventful, but long-term follow-up is necessary.
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Haruki
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan h-ito@simo.saiseikai.or.jp.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Sakata
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan.
authors.forename: Yurio
authors.initials: Y
authors.lastname: Kobayashi
mesh_terms: D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D001706:Biopsy; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D003560:Cysts / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D009336:Necrosis; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aneurysm; Axillary artery; Blood vessel prosthesis implantation; Cystic medial necrosis of aorta; Marfan syndrome; Subclavian artery