Coronary artery disease and internal mammary artery aneurysms in a young woman: Possible sequelae of Kawasaki disease

Ishiwata, Sugao; Nishiyama, Shinichiro; Nakanishi, Shigemoto; Seki, Akira; Watanabe, Yasunori; Konishi, Toshio; Fuse, Katsuo

doi:10.1016/0002-8703(90)90184-y

Cited by 16 publications

(6 citation statements)

References 4 publications

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“…Specifically, the prevalence is 28.8% from sternotomies, 13.6% from central venous catheter insertion, 13.6% from cardiac pacemaker lead insertion, 27.1% from blunt chest trauma, and 11.9% from penetrating chest trauma. 5 Other less common causes of internal mammary artery pseudoaneurysm include fibromuscular dysplasia, 5 polyarteritis nodosa, 6 Kawasaki disease, 7 systemic lupus erythematosus, 8 Marfan syndrome, 9 Ehlers-Danlos syndrome, 10 type 1 neurofibromatosis, 11 and chest wall infections. 12 …”

Section: Discussionmentioning

confidence: 99%

Uncommon Cause of Internal Mammary Artery Pseudoaneurysm

Prasad

Garces

Duwadi

et al. 2022

TOJ

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Background: Internal mammary artery pseudoaneurysms most commonly develop from thoracic penetrating trauma or procedures. However, other important etiologies should not be overlooked. Case Report: A 27-year-old female presented with antiphospholipid antibody syndrome, thrombotic microangiopathy, end-stage renal disease on hemodialysis, and epilepsy. On admission, the patient had pulseless electrical activity and hypertensive emergency. After the patient was successfully resuscitated, she developed status epilepticus. Laboratory workup on admission revealed a subtherapeutic international normalized ratio, elevated C-reactive protein and sedimentation rate, and acute anemia. Imaging showed a right-sided subdural hematoma with a midline shift and likely internal mammary artery pseudoaneurysm. Angiography demonstrated aneurysmal dilation, segmental narrowing, and a string of beads appearance. Because of our patient's demographics, string of beads appearance on diagnostic angiography, history of renal disease, and negative hepatitis serology, fibromuscular dysplasia was considered the etiology of the internal mammary artery pseudoaneurysm. The family opted for 2 burr holes and a subdural drain but declined further diagnostic and therapeutic interventions because of anoxic brain injury and poor prognosis. Conclusion:In this patient, the etiology of the internal mammary artery pseudoaneurysm was attributed to fibromuscular dysplasia. Although this patient's family chose comfort measures, treatment methods are available for internal mammary artery pseudoaneurysms.

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Section: Discussionmentioning

confidence: 99%

Uncommon Cause of Internal Mammary Artery Pseudoaneurysm

Prasad

Garces

Duwadi

et al. 2022

TOJ

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“… 1 , 2 , 3 , 4 , 5 , 6 The noniatrogenic or nontraumatic etiology, including vasculitis, connective tissue diseases, neurofibromatosis type 1, fibromuscular dysplasia, atherosclerosis, and idiopathic causes, is very rare. 3 , 4 , 5 , 6 , 7 MFS is an autosomal dominant inherited connective tissue disorder due to genetic mutation in the FBN1 receptor. The likely causes of mortality are aortic aneurysms, dissections, and ruptures.…”

Section: Discussionmentioning

confidence: 99%

Coil embolization of bilateral internal mammary artery aneurysms is durable in a patient with Marfan syndrome

Fujiyoshi¹,

Nishibe²,

Koizumi³

et al. 2018

Journal of Vascular Surgery Cases, Innovations and Techniques

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Internal mammary artery (IMA) aneurysms are very rare, have a high risk of rupture, and can cause hemothorax. Here, we report the case of a 33-year-old man with metachronal and bilateral IMA aneurysms. He had Marfan syndrome diagnosed by genetic testing. We carried out endovascular repair with coil embolization. He has survived without additional treatment for 7 years. Endovascular repair of metachronal and bilateral IMA aneurysms is feasible even in a patient with Marfan syndrome.

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“…In fact, most of the treated cases were found incidentally during radiologic examinations shortly after previous negative examinations. 1,2,6 In addition, 37% of the cases were ruptured aneurysms: they caused massive hemothorax, and potentially led to death. 5,14 Even smaller aneurysm (e.g., 10e36 mm) did rupture.…”

Section: Discussionmentioning

confidence: 99%