Endovascular repair of a ruptured thoracic saccular aneurysm in a patient with MAGIC Syndrome: Case report and review of the literature

Purpose: To present the succesfull endovascular repair of impending rupture of thoracic saccular aneurysm in patient with MAGIC syndrome.Case: A 51-year-old man with a history of MAGIC syndrome was transferred to our vascular unit with a 3 days history of thoracic pain and hemoptysis.Contrast enhanced computed tomography depicted a contained rupture of a saccular aneurysm in the distal part of descending thoracic aorta.The patient was successfully managed with thoracic endovascular aortic repair (TEVAR) and Anti-TNFa factor.His immediate postoperative course was uneventful.Follow up at 2 months depicted thrombosed saccular aneurysm with excellent patency and absence of migration and endoleak.Conclusion: Mid-term outcome of endovascular repair in patients with MAGIC syndrome seems to be safe.Due to the nature of the disease and its rarity, more studies are necessary to establish its efficacy.