Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492008000200008
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular híbrido de aneurisma da artéria subclávia associado à síndrome de Marfan: relato de caso

Hybrid endovascular treatment of subclavian artery aneurysm associated with Marfan's syndrome: case report

André de Araújo Sacchi; Alzumar Zacarias de Medeiros; Roberto Ribeiro Filho

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Resumo

Descreve-se o caso de uma paciente feminina de 46 anos com síndrome de Marfan que foi diagnosticada com aneurisma da artéria subclávia direita após cirurgia aberta para reparo de dissecção aórtica tipo A. A paciente foi tratada por abordagem híbrida, que combinou o implante de uma endoprótese recoberta da artéria inominada para a carótida comum direita com uma ponte carótida para a artéria axilar direita. O pós-operatório transcorreu sem complicações, com a confirmação, por ultra-som, do sucesso da exclusão do aneurisma.

Palavras-chave

Artéria subclávia, síndrome de Marfan, procedimento endovascular, endoprótese

Abstract

We report on a 46-year-old female patient with Marfan's syndrome and a right subclavian artery aneurysm following open repair of type A aortic dissection. The patient was treated with a hybrid approach, combining innominate to right common carotid stent grafting and carotid to right axillary artery bypass. The postoperative course was uneventful and a duplex ultrasound confirmed successful aneurysm exclusion.

Keywords

Subclavian artery, Marfan's syndrome, endovascular procedures, stent graft

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