Pseudoaneurysm of the Radial Artery After a Bicycle Fall

Abstract

We report a case of a 64-year-old man who developed a painful pulsatile mass in the distal forearm after a bicycle fall with fracture of the wrist. Ultrasonography confirmed a 2.5-cm large pseudoaneurysm of the radial artery. The patient underwent surgical exploration. The pseudoaneurysm was resected and the defect in the arterial wall was reconstructed with an autologous saphenous vein patch. We suggest that the double arterial supply of the hand should be preserved whenever possible.

Posttraumatic pseudoaneurysm of a superficial branch of the ulnar artery: A case report

“…It is necessary to perform an Allen test as part of the preoperative workup. Surgical treatment with revascularization seems to be the best approach [ 20 ] and has a high success rate with minimal morbidity. Nevertheless, simple ligature is possible depending on the location of the aneurysm.…”

Case report of a pseudoaneurysm following trauma with a rose thorn

“…Non‐iatrogenic trauma is considered an uncommon cause of pseudoaneurysms, especially in relation to the radial artery. A literature search of the PubMed database from the past 10 years confirms the infrequency of this pathology 1,5 . Of the 76 cases identified, 60 were attributed to iatrogenic trauma (79%), 12 cases to non‐iatrogenic trauma (16%) and four cases to idiopathic causes in patients with connective tissue disorders (5%).…”

“…Pseudoaneurysms are rare occurrences in peripheral arteries, with non‐iatrogenic causes described infrequently 1 . When left untreated, pseudoaneurysms may develop into a visible, pulsatile mass.…”

“…However, unlike a true aneurysm, a pseudoaneurysm does not involve all layers of the arterial wall. It instead describes a leakage of blood into the surrounding tissue contained by an inflammatory fibrous sac, or ‘pseudocapsule’, which retains a persistent communication with the true lumen of the artery 1,2 . Important differential diagnoses include haematoma with transmitted pulse, a mycotic aneurysm, abscess or true aneurysm.…”

False Aneurysm of the Radial Artery: Brief Literature Review and Case Report

“…В большинстве случаев аневризмы периферических артерий имеют посттравматический генез и часто развиваются после колото-резаных ранений и рентгеноэндоваскулярных лечебных вмешательств [1][2][3][4]. За последнее десятилетие, из-за увеличения частоты конфликтов с применением холодного оружия, участились случаи повреждения периферических артерий с последующим развитием пульсирующей гематомы и ложной аневризмы [5][6][7][8]. Кроме того, из-за повсеместного внедрения различных внутриартериальных вмешательств, в основном рентгеноэндо-васкулярного характера, участились случаи развития ложных аневризм [4,9,10,11].…”