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Endovascular treatment of ruptured axillary and large internal mammary artery aneurysms in a patient with Marfan syndrome  Jessica F. Rose, DO, Layla.

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Presentation on theme: "Endovascular treatment of ruptured axillary and large internal mammary artery aneurysms in a patient with Marfan syndrome  Jessica F. Rose, DO, Layla."— Presentation transcript:

1 Endovascular treatment of ruptured axillary and large internal mammary artery aneurysms in a patient with Marfan syndrome  Jessica F. Rose, DO, Layla C. Lucas, MD, Trung D. Bui, MD, Joseph L. Mills, MD  Journal of Vascular Surgery  Volume 53, Issue 2, Pages (February 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, A computed tomography (CT) angiogram with an anteroposterior view of the chest indicates the left internal mammary artery (LIMA) aneurysm (arrow) has a proximal neck. The tissue surrounding the left axillary aneurysm (*) shows evidence of previous hemorrhage. B, A CT angiogram with coronal view of the chest shows the LIMA aneurysm (arrow) and the left axillary aneurysm (*). C, A CT angiogram with coronal view of the chest reveals a large LIMA aneurysm (arrow) containing mural thrombus. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 An intraoperative arteriogram demonstrates left axillary aneurysm (*) cannulation with a marking catheter and a stiff wire. Early filling of the left interior mammary artery aneurysm (arrow) is seen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, An intraoperative fluoroscopy demonstrates placement of three stent grafts with adequate overlap: a 16-mm × 12-cm Gore Excluder limb (a), a 10-mm × 10-cm Viabahn stent (b), and a 11-mm × 5-cm Viabahn stent (c). Embolization coils were placed in the left interior mammary artery (LIMA) aneurysm neck and sac (d). B, An intraoperative arteriogram confirms patency of the left subclavian and axillary arteries after overlapping stent graft placement. The LIMA aneurysm is completely excluded. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Computed tomography imaging without contrast 9 months later shows the left axillary stent graft, with no evidence of the previous axillary aneurysm (*). The left internal mammary artery aneurysm with embolization coils has shrunk to one-third of its original size (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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