Endovascular management of spontaneous axillary artery aneurysm: a case report and review of the literature

Abstract

IntroductionSpontaneous atraumatic true axillary artery aneurysm is a relatively unusual disorder. Although most cases are asymptomatic, complications of axillary artery aneurysms may result in acute vascular insufficiency and neurological deficits. Prompt treatment, therefore, should be employed in the management of this condition. To date, the standard treatment for peripheral aneurysms is still surgical resection with end-to-end anastomosis. However, aneurysmectomy and interposition grafting with autologous or artificial vessels are more invasive and time-consuming. The ideal treatment for axillary artery aneurysm should be relatively noninvasive, safe and free of significant complications, cost-effective, cosmetically acceptable, and incur less absence from usual daily activities. Endovascular stent grafts have also been successfully used to treat these aneurysms. Management of select aneurysms using stent grafts has become more prevalent with the developing endoluminal technology.Case presentationWe report a case of a spontaneous atraumatic axillary artery aneurysm where the patient was a 48-year-old ethnic Han Chinese woman with a gradually enlarging left axillary pulsatile mass. She was treated with endovascular stent grafts. The postoperative course of the patient was uneventful during the six-month follow-up.ConclusionsWe show that there are significant early advantages with the endovascular management technique versus the conventional operation in the management of axillary artery aneurysm.

Endovascular Repair for Ruptured Axillary Artery Aneurysm Proximal to Hemodialysis Access

“…1 The main causes are arteriosclerosis, thoracic outlet syndrome, infection, blunt trauma, and connective tissue disorders such as Marfan syndrome. 4,7 -10,12 -14,16 However, our patient had none of these. In patients undergoing hemodialysis, arterial aneurysms proximal to AVF are unusual.…”

“…These aneurysms are fundamentally treated by a surgical approach, 1,2 -4,7 -10 but endovascular interventions are also currently performed 11 -14 and are associated with less severe complications. 15 Indeed, surgical procedures may result in complications such as organ injury because of the axillary anatomical complexity around aneurysms, including the axillary artery, vein, brachial plexus, internal jugular vein, and major and minor pectoral muscles.…”

Surgical Treatment of a Left Axillary Arterial Aneurysm with Marfan Syndrome by Combining Two Skin Incisions

“…Some studies have reported the effectiveness of endovascular repair by a covered-stent or stent-graft for the axillary arterial aneurysm. 8 , 9 ) Reportedly, endovascular treatment is less invasive compared to open surgery and has a low risk of complications caused by a surgical procedure. Hence, this therapy could be considered for patients with anatomical suitability for endovascular device approach and deployment.…”

Large-Sized Bilateral Atherosclerotic Axillary Artery Aneurysms: A Case Report

“…Surgery is the standard treatment for axillary artery aneurysms; however, endovascular methods have become more commonly used in recent years due to emerging techniques and equipment [ 2 10 11 ]. Graft stents have become the procedure of choice for the endovascular treatment of peripheral aneurysms [ 9 ]. However, stent placement near a mobile joint carries the risk of stent deformation or breaking.…”