Surgical approach to left subclavian artery aneurysm in Marfan syndrome

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• 作者：Yasuyuki Bito (1)
  Masayuki Sakaki (1)
  Kumiko Uji (1)
  Kazushige Inoue (1)
  Yoshiteru Yoshioka (1)
  Hiroki Mizoguchi (1)
  
• 关键词：Subclavian artery aneurysm ; Marfan syndrome
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2009
• 出版时间：July 2009
• 年：2009
• 卷：57
• 期：7
• 页码：376-378
• 全文大小：297KB
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• 作者单位：Yasuyuki Bito (1)
  Masayuki Sakaki (1)
  Kumiko Uji (1)
  Kazushige Inoue (1)
  Yoshiteru Yoshioka (1)
  Hiroki Mizoguchi (1)
  
  1. Department of Cardiovascular Surgery, Kansai Rousai Hospital, 3-1-69 Inabaso, Amagasaki, Hyogo, 660-8511, Japan
  

文摘

We present a case of left subclavian artery aneurysm in a 48-year-old man with Marfan syndrome. Aneurysmectomy and interposition with an artificial graft were successfully performed through an infraclavicular incision by dividing the clavicle at its midshaft. The clavicle bone was reconstructed with a steel plate, and the postoperative course was uneventful. Because the arterial wall is fragile in cases of connective tissue disorders such as Marfan syndrome, our surgical approach was considered to be helpful for gentle maneuvering in an adequate operative field.