Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200017
Jornal Vascular Brasileiro
Case Report

Rotura de aneurisma de artéria poplítea em paciente clinicamente diagnosticado com síndrome de Marfan

Ruptured popliteal artery aneurysm in a patient with a clinical diagnosis of Marfan syndrome

Gabriel Paiva Duarte; Jorge Ribeiro da Cunha Júnior

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Resumo

Resumo: A artéria poplítea é o principal local para a ocorrência de aneurismas periféricos. Suas formas de apresentação agudas são potencialmente ameaçadoras à viabilidade do membro e à vida, dentre as quais destacamos a sua rotura. Apesar de ser um evento raro, sua rotura demanda rápida proposta de intervenção para satisfatório desfecho terapêutico. O tratamento padrão-ouro é o cirúrgico convencional e se dá pela interposição de veia safena magna. Trabalhos feitos nas últimas décadas vêm encontrando associações entre a síndrome de Marfan e aneurismas periféricos. Este relato apresenta um caso de um aneurisma de artéria poplítea esquerda roto tratado com sucesso em um paciente de 82 anos diagnosticado clinicamente como portador de síndrome de Marfan previamente desconhecida.

Palavras-chave

artéria poplítea, aneurisma roto, síndrome de Marfan

Abstract

The popliteal artery is the main site of occurrence of peripheral aneurysms. Acute presentations constitute a potential threat to limb viability and to life, especially in the event of rupture. Rupture is a rare event, but one that demands an immediate intervention decision to achieve a satisfactory treatment outcome. The gold standard treatment is conventional surgery, effecting repair by interposition of a great saphenous vein graft. Studies conducted in recent decades have found associations between Marfan Syndrome and peripheral aneurysms. This report presents a case of a ruptured left popliteal artery aneurysm successfully treated in an 82-year-old patient clinically diagnosed with previously unknown Marfan syndrome.

Keywords

popliteal artery; ruptured aneurysm; Marfan syndrome.

References

1 Moraes AO, Nabeshima RY, Rezende FF, Viotto EF, Bogdan CR. Case report: rupture of popliteal artery aneurysm. J Vasc Bras. 2015;14(2):189-92. http://dx.doi.org/10.1590/1677-5449.0061.

2 Parmer SS, Skelly CL, Carpenter JP. Ruptured popliteal artery aneurysm: a case report. Vasc Endovascular Surg. 2006;40(1):71-4. http://dx.doi.org/10.1177/153857440604000110. PMid:16456609.

3 Del Tatto B, Lejay A, Meteyer V, et al. Open and endovascular repair of popliteal artery aneurysms. Ann Vasc Surg. 2018;50:119-27. http://dx.doi.org/10.1016/j.avsg.2018.01.077. PMid:29501897.

4 Huang Y, Gloviczki P, Noel AA, et al. Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: Is exclusion with saphenous vein bypass still the gold standard? J Vasc Surg. 2007;45(4):706-13. http://dx.doi.org/10.1016/j.jvs.2006.12.011. PMid:17398379.

5 Aulivola B, Hamdan AD, Hile CN, et al. Popliteal artery aneurysms: a comparison of outcomes in elective versus emergent repair. J Vasc Surg. 2004;39(6):1171-7. http://dx.doi.org/10.1016/j.jvs.2003.12.023. PMid:15192554.

6 Damasceno DCF, Evaristo JB, Felipe G Jr, et al. Aneurisma isolado de artéria femoral superficial roto contido: relato de caso. J Vasc Bras. 2017;16(4):348-54. http://dx.doi.org/10.1590/1677-5449.007517. PMid:29930673.

7 Wolfgarten B, Krüger I, Gawenda M. Rare manifestation of abdominal aortic aneurysm and popliteal aneurysm in a patient with Marfan’s syndrome: a case report. Vasc Surg. 2001;35(1):81-4. http://dx.doi.org/10.1177/153857440103500118. PMid:11668374.

8 Mohammad A, Helmi H, Atwal PS. Patient with Marfan syndrome and a novel variant in FBN1 presenting with bilateral popliteal artery aneurysm: a case report. Case Rep Genet. 2018;2018:6780494. http://dx.doi.org/10.1155/2018/6780494. PMid:29796325.

9 Peng KX, Davila VJ, Fowl RJ. Successful repair of a popliteal aneurysm with saphenous vein graft in a patient with Marfan syndrome. J Vasc Surg Cases Innov Tech. 2019;5(4):393-5. http://dx.doi.org/10.1016/j.jvscit.2018.08.008. PMid:31660457.

10 Gaertner S, Alembik Y, Cordeanu EM, et al. Should we systematically screen for peripheral arterial aneurysms in all patients with Marfan syndrome? Int J Cardiol. 2014;172(1):e94-5. http://dx.doi.org/10.1016/j.ijcard.2013.12.131. PMid:24433614.

11 Loeys BL, Dietz HC, Braverman AC, et al. The revised Ghent nosology for the Marfan syndrome. J Med Genet. 2010;47(7):476-85. http://dx.doi.org/10.1136/jmg.2009.072785. PMid:20591885.

12 Barbato HA, Cunha MT, Clauzo AV, et al. Aneurisma de artéria poplítea com rotura e formação de pseudo-aneurisma. J Vasc Bras. 2006;5(2):148-50. http://dx.doi.org/10.1590/S1677-54492006000200012.

13 Braga AFF, Catto RC, Ribeiro MS, Piccinato CE, Joviliano EE. Cirurgia aberta e endovascular no tratamento de aneurisma de artéria poplítea: experiência de cinco anos do HCRP-FMRP-USP. J Vasc Bras. 2015;14(4):297-304. http://dx.doi.org/10.1590/1677-5449.02715.

14 Bandeira RN, Cacione DG, Bandeira FCV, Pelissoni AS, Leite CON, Nakano LCU. Tratamento endovascular versus tratamento aberto de aneurisma de artéria poplítea: artigo de revisão. J Vasc Bras. 2018;17(1):34-41. http://dx.doi.org/10.1590/1677-5449.004917. PMid:29930679.

15 Leake AE, Segal MA, Chaer RA, et al. Meta-analysis of open and endovascular repair of popliteal artery aneurysms. J Vasc Surg. 2017;65(1):246-56.e2.. http://dx.doi.org/10.1016/j.jvs.2016.09.029. PMid:28010863.

16 Gao L, Tian T, Zhou X, Fan L, Wang R, Wu H. Detection of ten novel FBN1 mutations in Chinese patients with typical or incomplete Marfan syndrome and an overview of the genotype-phenotype correlations. Int J Cardiol. 2019;293:186-91. http://dx.doi.org/10.1016/j.ijcard.2019.06.066. PMid:31279664.

17 Yetman AT, Roosevelt GE, Veit N, Everitt MD. Distal aortic and peripheral arterial aneurysms in patients with Marfan syndrome. J Am Coll Cardiol. 2011;58(24):2544-5. http://dx.doi.org/10.1016/j.jacc.2011.09.024. PMid:22133857.

18 Morisaki K, Kobayashi M, Miyachi H, et al. Subclavian artery aneurysm in Marfan syndrome. Ann Vasc Surg. 2012;26(5):731.e1-4. http://dx.doi.org/10.1016/j.avsg.2011.09.016. PMid:22664289.

19 Hatrick AG, Malcolm PN, Burnand KG, Irvine AT. A superficial femoral artery aneurysm in a patient with Marfan’s syndrome. Eur J Vasc Endovasc Surg. 1998;15(5):459-60. http://dx.doi.org/10.1016/S1078-5884(98)80212-8. PMid:9633506.
 


Submitted date:
02/25/2020

Accepted date:
05/28/2020

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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