Brachial artery pseudoaneurysm secondary to inadvertent arterial puncture (original) (raw)
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Delayed presentation of a traumatic brachial artery pseudoaneurysm
2009
Brakiyel arter psödoanevrizmasının penetran travma sonrası geç başvurusu nadiren bildirilmiştir. Bu yazıda, antekübital fossa bölgesine nafiz penetran bir travma ve arkasından da dirseğinde ani bir şişlik ve duyarlılık oluşmasından üç ay sonra başvuran 23 yaşında bir erkek olgu sunuldu. Doppler ultrasonografi ve bilgisayarlı tomografi anjiyografisi büyük bir psödoanevrizma varlığını doğruladı. Normal arteriyel dolaşımı sağlayacak şekilde araya yerleştirilen bir safen ven interpozisyon greftiyle cerrahi rekonstrüksiyon gerçekleştirildi. Anahtar Sözcükler: Brakiyel arter; gecikmiş başvuru; sahte anevrizma; penetran travma; psödoanevrizma; üst ekstremite. Delayed presentation of a brachial artery pseudoaneurysm following penetrating trauma is infrequently reported. We report the case of a 23-year-old male who presented three months following a penetrating trauma to his antecubital fossa with a sudden exacerbation of swelling and tenderness of his elbow. Doppler ultrasound and computed tomography arteriography confirmed the presence of a large pseudoaneurysm. Surgical reconstruction was performed using the long saphenous vein as an interposition vein graft, restoring normal arterial circulation.
Giant iatrogenic pseudoaneurysm of the brachial artery: A case report
International Journal of Surgery Case Reports, 2017
Introduction: Pseudoaneurysms are a pulsatile hematoma caused by hemorrhage on soft tissues. It is an uncommon condition with many different etiologies. We report a case of a giant pseudoaneurysm caused by iatrogenic injury on the brachial artery. Presentation of case: A 42 year-old male was submitted to our Vascular Surgery service with an enlargement of the right upper limb and a history of myocardial infarction. 60days before the patient reached our service, he was submitted to a cardiac catheterization performed by another medical team, since the catheter was placed on the right brachial artery near the cubital fossa, we suspected an iatrogenic pseudoaneurysm, which was confirmed by his clinical history and physical exam. It was opted to treat the pseudoaneurysm with an implant of polytetrafluoroethylene prosthesis. There were no complications whatsoever and the patient was discharged. Discussion: Pseudoaneurysms are more common after interventional procedures than diagnostic procedures, although brachial artery pseudoaneurysms are rare. Complications of pseudoaneurysms can cause serious threat to the afflicted limb and the patient's life. The management of any pseudoaneurysm is dependent on its size, location and pathogenesis. Conclusion: Pseudoaneurysms develop slowly and should be diagnosed as early as possible in order to avoid complications and a better outcome. Due to an increase in recent endovascular procedures and the fact that brachial artery puncture is being performed more routinely, incidence of brachial artery pseudoaneurysms among overall population may rise.
Pseudoaneurysm of brachial artery: A rare cause of median nerve compression
Trauma case reports, 2018
The authors present an unusual clinical case of high median nerve compression caused by an iatrogenic pseudoaneurysm of the brachial artery after an angiography with a follow up of 9 months. A 73-year-old male was seen with progressive numbness, loss of opponency and diminution of strength of finger flexion in the left hand after an angiography with direct puncture of the left humeral artery. Physical examination revealed a hard consistency internal distal arm swelling with the size of a walnut, non-pulsatile and with a Tinel sign on percussion. Upper extremity arterial Doppler ultrasonography and magnetic resonance imaging didn't point to a pseudoaneurysm. Given the persistence and progressive worsening of symptoms, the patient was operated at 4 months after the beginning of symptoms through an anterior approach of the left elbow. The tumefaction corresponded to a brachial artery pseudoaneurysm completely thrombosed causing severe compression of the median nerve. Microsurgical ...
Journal of Pediatric Orthopaedics, 2010
Supracondylar fractures of the humerus are the most common elbow fractures in children, accounting for 60% to 70% of all pediatric elbow fractures. These fractures often have neurovascular complications because of deformity and the sharp nature of the fracture fragments. The management of patients who present with diminished or absent pulses, but a well-perfused extremity is a topic of debate. Between 3% and 14% of patients present with an altered vascular examination and a consistent treatment logarithm has not been proposed in the literature. To our knowledge, a brachial artery pseudoaneurysm presenting in a delayed fashion in the setting of a normal vascular examination has not been reported. We report a 6-year-old boy who had a delayed presentation of a brachial artery pseudoaneurysm after a supracondylar humerus fracture, which was repaired with a saphenous vein graft. This is to emphasize close neurological and vascular monitoring even in the setting of a well-perfused hand. In addition, this would suggest that closer postoperative evaluation in significantly displaced fractures should be performed, even beyond the fracture healing stage.
A Rare Brachial Artery Pseudoaneurysm 13 Years After Excision of a Humeral Osteochondroma
Annals of Plastic Surgery, 2004
Pseudoaneurysms resulting from vascular impingement by osteochondromas are extremely rare. The authors detail the case of a 19-year-old man who represents the third known report in the English literature of a brachial artery pseudoaneurysm associated with a humeral osteochondroma. In patients presenting with a painful upper arm mass and a history of multiple hereditary exostoses, one must have a high index of suspicion for pseudoaneurysm.
Treatment of an infected giant brachial artery pseudoaneurysm: a case report
Turkish Journal of Thoracic and Cardiovascular Surgery, 2012
Periferik arter anevrizmaları, üst ekstremitelerde alt ekstremitelerden çok daha az görülür. Hemodiyaliz için yapılan venöz kateterizasyon esnasında istenmeden meydana gelen brakiyal arter delinmesine sekonder dev brakiyal arter psödoanevrizma oluşumu nadirdir. Bu psödoanevrizmalar; yaşamı tehdit eden kanama, ekstremite fonksiyonlarında ciddi azalma, kol ya da parmakların kaybı ve hatta ölüm gibi ciddi komplikasyonlara neden olabilir. Bu yazıda, hemodiyaliz için yapılan kateterizasyon esnasında brakiyal arter delinmesine sekonder ortaya çıkan enfekte brakiyal arter psödoanevrizmasının, anevrizmektomi ve safen ven grefti interpozisyonu ile başarılı bir şekilde tedavisi sunulmuştur. Anah tar söz cük ler: Brakiyal arter; enfekte psödoanevrizma; safen greft; üst ekstremite. Peripheral artery aneurysms are much less frequent in the upper extremities than in the lower extremities. Giant brachial artery pseudoaneurysms secondary to inadvertent puncture of the brachial artery during venous cannulation for hemodialysis are rare. These pseudoaneurysms may result in serious complications such as life-threatening hemorrhage and severe decreases in extremity function and also lead to loss of arms or fingers and even death. In this article, we present a case of infected giant brachial artery pseudoaneurysm secondary to brachial artery puncture for hemodialysis and successfully treated with aneurysmectomy and a short saphenous vein interposition graft.
Zenodo (CERN European Organization for Nuclear Research), 2023
Introduction: Pseudoaneurysms develop when all three layers of the artery wall are damaged, which causes blood to extravagate from the vessel and connect with the vessel lumen. Adventitia creates the fake sac's inner lining; over time, the hematoma is replaced by fibrous scar tissue, developing a false aneurysm. The fake aneurysm may grow and invade nearby structures, potentially rupturing later. Upper limb peripheral artery pseudoaneurysms are rare, with only a few case reports described in the literature and the most infrequent location being the radial artery. Presentation of Case: A 42-year-old male patient was admitted to our hospital with a chief complaint of pain and an open wound on his left hand after a motorcycle accident. The patient underwent debridement and primary closure for the wound. Eleven days later, the patient returned with a chief complaint of swelling on the injured side with vulnus punctum and bloody discharge at first web. Forearm MRI with contrast revealed a pocket-shaped lesion with internal hi-flow (flow void) in the left volar side associated with the left radial artery. The patient was diagnosed with a rupture of pseudoaneurysm from the left superficial branch of the radial artery and underwent evacuation of pseudoaneurysm and hematoma and ligation of the superficial branch of the radial artery. Conclusion: Despite being relatively uncommon, post-traumatic pseudoaneurysm of the superficial branch of the radial artery can put patients in severe danger and discomfort after hand trauma. Both emergency physicians and surgeons should be aware of the risk for pseudoaneurysm if a patient appears with a pulsatile mass following trauma.
Case Reports in Orthopedic Research, 2022
Vascular complications of osteochondromas of the humerus are extremely rare. Only 9 cases with pseudoaneurysms of the brachial artery complicating osteochondromas of the humerus were reported in 7 English articles. The computed tomography (CT) angiographic examination of all of them were positive for the diagnosis of the pseudoaneurysm. Up to our knowledge, this is the first case report in which the CT angiography misdiagnosed such lesion. In this article, we described a case with a pseudoaneurysm complicating a proximal humeral exostosis in a 27-year-old male patient with a known history of hereditary multiple osteochondromas since childhood that was unanticipatedly misdiagnosed by the CT angiographic imaging modality. The participating authors tried to infer reasoned possibilities behind this unreported phenomenon before.