A Case of Vascular Type Ehlers-Danlos Syndrome Diagnosed after Endovascular Treatment for a Young-Onset Ruptured Right Subclavian Artery Aneurysm

Abstract

Twenty-six year old female patient was transferred emergency room complaining right chest pain and back pain followed be unconscious. Right intrathoracic bleeding and right subclavian artery sac aneurysm rupture were suspected from the CT findings. The endovascular management (covered stent graft deployment) was performed via right brachial artery. The patient’s postoperative course was noneventful and the genetic analysis revealed COL3A1 gene mutation and confirmed vascular type Ehlers-Danlos syndrome (vascular type EDS). Endovascular therapy is theoretically optimal strategy avoiding suture for vascular type EDS however, long-term meticulous follow up is mandatory.