Bilateral axillary artery aneurysms after Bentall procedure in Marfan syndrome

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 x diameter: right: 80 x 39 mm; left: 103 x 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.
Source: Asian Cardiovascular and Thoracic Annals - Category: Cardiology Authors: Tags: Cardiovascular Source Type: research