Montanari F, Codispoti FA, Tinelli G, Minelli F, Tshomba Y. A Rare Case of Dysplastic Axillary Artery Aneurysm Associated with Arteriovenous Malformation.
Ann Vasc Surg 2020;
71:536.e9-536.e14. [PMID:
33157250 DOI:
10.1016/j.avsg.2020.09.053]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Revised: 08/25/2020] [Accepted: 09/20/2020] [Indexed: 01/10/2023]
Abstract
BACKGROUND
Axillary artery aneurysms are rare conditions, and their causes are various. They can determine severe complications, so the treatment is extremely important.
METHODS
We report the case of a young man affected by a saccular axillary artery aneurysm associated with intramuscular arteriovenous malformation, without symptoms except for the presence of a pulsatile mass. Duplex scan and computed tomography scan have been essential for a correct diagnosis and planning of the treatment. At first, the patient was submitted to coil embolization of an efferent vessel, and then he was treated surgically through ligation and detachment of the aneurysm and replacement of part of the axillary artery with a Dacron graft (Vascutek, Inchinnan, Renfrewshire, Scotland, UK).
RESULTS
Follow-up at 1 and 6 months revealed normal patency of the axillary arterty and the prosthetic graft with complete exclusion and thrombosis of the aneurysm sac.No sensitive nor motor deficit were observed.
CONCLUSIONS
Aneurysms of the axillary artery associated with intramuscular arteriovenous malformations are very rare, but have to be suspected. The treatment is challenging and can be surgical, endovascular, or hybrid, based on the patient's conditions and aneurysm's anatomical features.
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