True Brachial Aneurysm in an Older Female Patient. A Case Report and Review of Literature

Bautista-Sánchez, Juan; Cuipal-Alcalde, Juan D.; Bellido-Yarlequé, David; Rosadio-Portilla, Luz; Gil-Cusirramos, Martin

doi:10.1016/j.avsg.2021.05.059

Cited by 3 publications

(7 citation statements)

References 37 publications

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Section: Discussionmentioning

confidence: 99%

“…Bautista-Sanchez et al 24 recently performed a systematic literature review finding only 35 cases of true brachial aneurysms reported, excluding patients with a history of arteriovenous fistula. Most of the patients were male (57%), and median age was 52 years.…”

Section: Discussionmentioning

confidence: 99%

“…24 Therefore, CTA or MRA are preferred methods for diagnostic evaluations of upper limb vascular diseases due to their high-image resolution capacity. 25 Bautista-Sanchez et al 24 recently performed a systematic literature review finding only 35 cases of true brachial aneurysms reported, excluding patients with a history of arteriovenous fistula. Most of the patients were male (57%), and median age was 52 years.…”

Section: Discussionmentioning

confidence: 99%

“…The latter being the first diagnostic approach, but findings can be misleading as it is operator-dependent. 24 Therefore, CTA or MRA are preferred methods for diagnostic evaluations of upper limb vascular diseases due to their high-image resolution capacity. 25 Bautista-Sanchez et al 24 recently performed a systematic literature review finding only 35 cases of true brachial aneurysms reported, excluding patients with a history of arteriovenous fistula.…”

Section: Discussionmentioning

confidence: 99%

“…Bypass with greater saphenous vein interposition graft has been the most frequently employed treatment. 2,3,[23][24][25][26][27] We decided to use the right great saphenous vein in this patient, because it was the largest conduit available. The cephalic vein 14 or the basilic vein 28 have also been used with the theoretical advantage of avoiding an incision in lower extremity and preserving the saphenous vein for possible future vascular reconstructions.…”

Section: Discussionmentioning

confidence: 99%

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True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

González-Urquijo

Marine

Vargas

et al. 2022

Vasc Endovascular Surg

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Purpose: The objective of this study is to report a case of a 65-year-old woman who presented with pallor and pain of her left arm secondary to a true arterial brachial aneurysm, which was successfully treated with saphenous vein bypass and embolization of the aneurysm sac. A review of the literature is also presented. Case report: A 65-year-old woman presented with an acute onset of pallor and pain of her left forearm, and hand. On physical examination, there was a pulsatile mass at the forearm. A doppler ultrasound showed a fusiform aneurysmal dilatation of the brachial artery of 23 mm of diameter. A dynamic contrast-enhanced MRI angiogram confirmed a fusiform dilation of the distal brachial artery. The patient was scheduled for open repair. A fusiform 20 x 60 mm aneurysm of the distal brachial artery extending to the cubital fossa was found and a brachial artery to radial and ulnar arteries bypass with interposed reverse right saphenous vein was created. Embolization of the aneurysm sac was performed using Gelita-spon ® (Gelita Medical, Eberbach, Germany). A final angiogram showed an adequate perfusion through the bypass to the hand, and no contrast in the aneurysmal sac. Postoperative course was uneventful with discharge on the fourth postoperative day. Conclusion: Revascularization with autologous saphenous vein graft and exclusion of the aneurysm with local embolization is a good treatment alternative in a patient with symptomatic brachial aneurysm with distal embolization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

González-Urquijo

Marine

Vargas

et al. 2022

Vasc Endovascular Surg

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Axillary and brachial artery aneurysm associated with a longstanding arteriovenous fistula

Yu,

Cartagena,

Etkin

2024

Annals of Vascular Surgery - Brief Reports and Innovations

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Ischemic Complication of a Rare Traumatic True Brachial Artery Aneurysm: A Case Report

Grande-Garcia,

Anaya-Ayala,

Barragán-Galindo

et al. 2024

Vasc Specialist Int

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True brachial artery aneurysms are rare. We present the case of a 47-year-old male who was referred to our clinic for the evaluation of progressive right arm claudication. He had suffered a gunshot wound in the right elbow 16 years before his symptoms. Computed tomography angiography revealed a thrombosed true brachial artery aneurysm. The patient was placed in the operating room, and aneurysm resection and reconstruction were performed using an interposition saphenous vein graft. His postoperative period was uneventful, and 1 year after the procedure, he remained asymptomatic. True brachial artery aneurysms associated with remote traumas are rare. This case illustrates the clinical presentation and successful management of arterial reconstruction using an autologous vein graft.

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True Brachial Aneurysm in an Older Female Patient. A Case Report and Review of Literature

Cited by 3 publications

References 37 publications

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

Axillary and brachial artery aneurysm associated with a longstanding arteriovenous fistula

Ischemic Complication of a Rare Traumatic True Brachial Artery Aneurysm: A Case Report

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