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Bilateral axillary artery aneurysms after Bentall procedure in Marfan syndrome
Takashi Haruki1, Hiroshi Ito2, Kensuke Sakata1
1Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan.
Abstract:
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 × diameter: right: 80 × 39 mm; left: 103 × 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.
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