Key result
Surgical clipping was successfully performed for a ruptured cerebral aneurysm in a patient with Marfan syndrome, leading to discharge without neurological sequelae 18 days postoperatively.
Case Report (n=1)
No
Surgical clipping can be successfully performed for ruptured cerebral aneurysms in patients with Marfan syndrome, though surgical strategy must account for the fragility of the elastic membranes of major cerebral arteries.
May support clipping feasibility in Marfan aneurysms; leaves open need for larger studies on vessel fragility.
We report a case of subarachnoid hemorrhage due to a rupture of an aneurysm at the right internal carotid artery-posterior communicating artery in a patient with Marfan syndrome. Since the patient had a history of aortic dissection that was treated conservatively, we selected clipping rather than coil embolization as the surgical strategy for the patient. She was surgically treated successfully, and discharged from our hospital without neurological sequelae 18 days postoperatively. From the findings of the present case in combination with a review of the literature, cerebral aneurysms in patients with Marfan syndrome may be developed due to the fragility of elastic membranes of major cerebral arteries, and we emphasize the importance of developing surgical strategy based on the fragility of elastic membranes.
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Takahashi et al. (2016) conducted a case report in Subarachnoid hemorrhage in Marfan syndrome (n=1). Surgical clipping was evaluated on Clinical outcome after surgery. Surgical clipping was successfully performed for a ruptured cerebral aneurysm in a patient with Marfan syndrome, leading to discharge without neurological sequelae 18 days postoperatively.
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