Infected Upper Extremity Aneurysms: A Review

Abstract

Our review identified 61 cases of SFA aneurysms. They were most often seen in elderly men, predominately affected the right lower extremity, and were most often located in the middle-third of the artery. At the time of diagnosis, SFA aneurysms were frequently symptomatic because they reached a relative large diameter before the diagnosis was made. The most frequent presentation was localized pain in association with a pulsatile mass. In contrast to popliteal aneurysms, SFA aneurysms more frequently present with rupture than distal ischemia. Angiography was by far the most commonly utilized diagnostic tool. Treatment was primarily by means of an interposition graft, followed by exclusion and surgical bypass. Endovascular repair of SFA aneurysms has only been reported in three instances. SFA aneurysm repair was most often associated with favorable outcomes, with low reported rates of ischemia and limb loss.

Traitement endovasculaire d’un anévrisme de l’artère sous-clavière gauche intrathoracique

“…L'origine dégénérative de l'anévrisme était retenue vu la négativité du bilan infectieux biologique, et après analyse des caractéristiques cliniques et radiologiques (aspect fusiforme, sans contour lobulé, sans collection péri-anévrismale et sans adénopathie) [4,5]. (1) 3 (6) 0 (0) Sténose 0 (0) 2 (4) 0 (0) Faux anévrisme 0 (0) 4 (8) 0 (0) Fracture de stent 0 (0) 2 (4) 0 (0) Abcès 3 (1) 1 (2) 0 (0) Infection de prothèse 2 (1) 0 (0) 0 (0) Ischémie du membre 6 (2) 1 (2) 0 (0) Lésion du nerf récurrent 9 (3) 0 (0) 0 (0) Atteinte du plexus brachial 7 (2) 1 (2) 0 (0) Saignement récurrent 4 (1) 0 (0) 0 (0) Échec de la ligature…”

Radial Mycotic Aneurysm Complicated with Infective Endocarditis Caused by <i>Streptococcus sanguinis</i>

“…As to the site of aneurysm formation, the most common site is the aorta (over 20%), while the frequency of formation in the upper extremities is less than 10%. Leon et al reviewed 148 cases of infected upper extremity aneurysms in 74 papers published between 1950 and 2007 (13). Among 33 forearm arterial cases, the mean patient age was 63.6 (range 38-80) years, and the size of the aneurysms ranged from 4 mm to 10 cm in maximal diameter.…”

Treatment of an infected giant brachial artery pseudoaneurysm: a case report

“…When performed, surgical therapy is associated with favorable outcomes. [5] Behera et al [6] noted that none of the patients with a pseudoaneursym of the brachial artery underwent reconstruction. However, most of the patients in Behera's series were young males and drug addicts, which means they had not yet developed atherosclerosis.…”