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

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

Journal of Medical Case Reports, May 2013

23714201

Changsheng He, Xingjiang Wu, Jianmin Cao, Xinxin Fan, Kai Liu, Baochen Liu

Spontaneous 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.