Case Report: Morphological Characterization and Long-Term Observation of Bilateral Sequential Internal Mammary Artery Aneurysms in a Patient With Confirmed FBN1 Mutation

Frontiers in Cardiovascular Medicine

Noémi Daradics¹  Béla Merkely¹  Bernadett Ruskó²  Miklós Pólos²  Kálmán Benke²  Zoltán Szabolcs²  Roland Stengl²  Bence Ágg³  Bálint Szilveszter⁴  Borbála Vattay⁴ 

[1] Heart and Vascular Center, Semmelweis University, Budapest, Hungary;Heart and Vascular Center, Semmelweis University, Budapest, Hungary;Hungarian Marfan Foundation, Budapest, Hungary;Heart and Vascular Center, Semmelweis University, Budapest, Hungary;Hungarian Marfan Foundation, Budapest, Hungary;Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary;MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Budapest, Hungary;

关键词: Marfan syndrome;    aneurysm;    internal mammary arteries;    follow-up;    tortuosity;    case report;   

DOI  :  10.3389/fcvm.2021.697591

来源: Frontiers

【 摘 要 】

Marfan syndrome (MFS) is a genetically determined connective tissue disorder that leads to ocular, skeletal, and severe cardiovascular involvement. High mortality of MFS is associated with aortic dissection and aneurysm characteristic to the syndrome. In MFS, only a few cases of peripheral arterial involvement have been reported so far, mostly without a genetically confirmed diagnosis. We report a 41-year-old MFS patient with a saccular pearl-string-like aneurysm on the right internal mammary artery (RIMA) and a single aneurysm on the left internal mammary artery (LIMA). To our knowledge this is the first reported case on internal mammary artery aneurysms with this special morphology and with follow-up and blood pressure control as primary therapeutic approach in a patient with genetically confirmed MFS. The aneurysms with the above described morphology first appeared as small aneurysms on a CT scan 6 years after a cardiac operation. Due to the lack of guidelines, based on the asymptomatic state of the patient, the increased tortuosity of the affected vessels and the history of prior cardiac surgery, we decided to closely monitor these aneurysms with blood pressure control and without carrying out any interventions. On the CT scans done 3, 11, 12, 17, and 32 months after identifying the aneurysms, no progression of these structures was detected. Our findings confirm the possibility of the occurrence of internal mammary artery aneurysms in patients with FBN1 mutation and we believe that monitoring these aneurysms with blood pressure management can be a suitable option in selected cases.

【 授权许可】

CC BY