Luís F. Antunes, Ana Baptista, Joana Moreira, Ricardo Pereira, Anabela Gonçalves, Gabriel Anacleto, João Alegrio, Manuel Fonseca, Óscar Gonçalves, Albuquerque Matos

Serviço de Angiologia e Cirurgia Vascular, Hospitais da Universidade de Coimbra

(E-mail: luisffantunes@yahoo.com)

|RESUMO|

Os aneurismas da artéria axilar de origem aterosclerótica são raros, mas podem originar complicações vasculares e neurológicas graves no membro superior, pelo que o seu tratamento deve ser precoce.

Apresentamos o caso clínico de um homem de 64 anos com aneurisma da artéria axilar direita. O doente tinha antecedentes de aneurisma da aorta torácica já excluído por via endovascular. Devido ao crescimento súbito do aneurisma com sintomas neurológicos, foi submetido a aneurismectomia total com interposição de prótese PTFE 8 não aneladada (axilo-axilar). O estudo histológico revelou tratar-se de um aneurisma de origem aterosclerótica. Em consulta de follow-up o doente apresenta melhoria clínica e prótese permeável.

O presente caso clínico realça a importância e os bons resultados que o tratamento cirúrgico tem nestes doentes.

Atherosclerotic axillary artery aneurysm of a rare case

|ABSTRACT|

Atherosclerotic axillary artery aneurysms are very rare, but they can cause severe vascular or neurologic complications in the upper limb. Early treatment is mandatory.

The authors report a case of a 64 years man with a right axillary artery aneurysm. The patient has had a previous exclusion of thoracic aortic aneurysm by endograft (TEVAR). Due to the sudden growth of aneurysm and neurologic symptoms, he was submitted to total aneurismectomy and interposition of axillary-axillary prosthetic graft (PTFE 8 without rings). The histological study shows an atherosclerotic aneurysm. In the follow-up the patient presented an improving clinical status of the upper limb and a patent graft.

Present case report shows the importance and good outcome of surgical treatment in such patients.

Key words: Atherosclerotic axillary artery aneurysms, surgical treatment

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REFERÊNCIAS

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*Apresentado sob a forma de poster no X Congresso Anual da SPACV, 2010