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.
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References
Lawrence PF, Gazak C, Bhirangi L, Jones B, Bhirangi K, Oderich G, et al. The epidemiology of surgically repaired aneurysms in the United States. J Vasc Surg 1999;30:632–640.
Dougherty MJ, Calligaro KD, Savarese RP, DeLaurentis DA. Atherosclerotic aneurysm of the intrathoracic subclavian artery: a case report and review of the literature. J Vasc Surg 1995;21:521–529.
Resch TA, Lyden SP, Gavin TJ, Clair DG. Combined open and endovascular treatment of a right subclavian artery aneurysm: a case report. J Vasc Surg 2005;42:1206–1209.
Tabata S, Saito H, Takizawa M, Imagawa T. Atherosclerotic aneurysm of the right subclavian artery: report of a case. Ann Thorac Cardiovasc Surg 2007;13:139–142.
Keane MG, Pyeritz RE. Medical management of Marfan syndrome. Circulation 2008;117:2802–2813.
Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma 2005;19:504–507.
Zadnik M, Eglseder WA Jr, Shur VB. Transclavicular approach for brachial plexus reconstruction. Tech Hand Up Extrem Surg 2008;12:126–130.
Nakamura K, Murakami M, Asai T, Saito Y, Suda Y, Yamaguchi H. Distal arch replacement for intrathoracic left subclavian artery aneurysm in a 68-year-old man. Jpn J Cardiovasc Surg 2007;36:218–220.
Smythe WR, Reznik SI. Optimal exposure of thoracic inlet vascular structures: transmanubrial approach. Semin Vasc Surg 2008;21:21–24.
Gonzalez JM, Garcia BA, Lebrun JM, Docampo MM. Combined surgery for the treatment of bilateral subclavian artery aneurysm in Marfan syndrome. J Vasc Surg 2007;45:180–182.
Van Leemput A, Maleux G, Heye S, Nevelsteen A. Combined open and endovascular repair of a true right subclavian artery aneurysm without proximal neck. Interact Cardiovasc Thorac Surg 2007;6:406–408.
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Bito, Y., Sakaki, M., Uji, K. et al. Surgical approach to left subclavian artery aneurysm in Marfan syndrome. Gen Thorac Cardiovasc Surg 57, 376–378 (2009). https://doi.org/10.1007/s11748-008-0389-6
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DOI: https://doi.org/10.1007/s11748-008-0389-6