Vascular Reconstruction of a Brachial Artery Aneurysm Proximally to an Arteriovenous Malformation

Woodford, Curtis; Tai, Elizabeth; Mafeld, Sebastian; Al-Mubarak, Husain A; Jaberi, Arash; Oreopoulos, George

doi:10.1177/1538574419873745

Cited by 3 publications

(3 citation statements)

References 25 publications

(26 reference statements)

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“…In this case, her presentation of an AVM and aneurysm of the peripheral vasculature was quite rare. However, the palpable mass was due to her aneurysm rather than the AVM itself [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Upper Extremity Arteriovenous Malformation Masquerading as a Biceps Ganglion Cyst

Lee¹,

Chapman²,

Boyinepally³

et al. 2023

Cureus

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A 71-year-old male presented to the clinic with two multiloculated cystic masses located over the distal bicep of his left upper extremity, causing discomfort when flexing the extremity. Referral and point-of-care ultrasound at an outside location suggested cystic masses that were consistent with that of a ganglion cyst. Physical exam and clinical presentation were also consistent with this diagnosis. Due to the patient’s symptomatic presentation, surgical intervention was proposed, and the patient consented. Intraoperatively, it was discovered that the patient’s mass was unexpectedly due to an arteriovenous malformation, revealing the importance of careful workup for cystic masses presenting in unusual locations.

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“…In this case, her presentation of an AVM and aneurysm of the peripheral vasculature was quite rare. However, the palpable mass was due to her aneurysm rather than the AVM itself [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Upper Extremity Arteriovenous Malformation Masquerading as a Biceps Ganglion Cyst

Lee¹,

Chapman²,

Boyinepally³

et al. 2023

Cureus

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“…5 Likewise, the Mayo Clinic, after reviewing all true upper extremity aneurysms cases in a twodecade period, identified only two brachial artery aneurysms. 1 Upper extremity aneurysms are usually secondary to other conditions such as trauma, 13 infection, 14 thoracic outlet syndrome, 15 previous arteriovenous fistulae, 8 vascular malformations 16,17 ; arteritis such as giant cell arteritis polyarteritis nodosa and Takayasu's arteritis, 18 and connective tissue disorders such as Ehlers-Danlos or Marfan syndrome, 19 among others, 20 with the vast majority being false or pseudoaneurysms. Mycotic upper extremity aneurysms have also been reported.…”

Section: Discussionmentioning

confidence: 99%

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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“…14 Ischemic manifestations may require urgent treatment and usually occur due to aneurysm thrombosis or distal thrombus embolization. 15,16 Rupture is a severe clinical presentation but rarely reported. 17 Prompt diagnosis and treatment are essential to avoid devastating outcomes.…”

Section: Introductionmentioning

confidence: 99%

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Mendes

Vaz

Machado

et al. 2022

Vasc Endovascular Surg

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Background Upper extremity arterial aneurysms are a rare, potentially limb-threatening disorder. Due to its rarity, the best treatment modality and outcomes are not entirely established; however, there is a consensus that open surgery is the first-line treatment. We present a complex case of an arterial aneurysm of the subclavian-axillary-brachial axis adequately treated using a hybrid surgical and endovascular treatment. Case Presentation A 59-year-old man presented to the emergency department with acute ischemia of the right upper limb. An extensive thrombosed aneurysm of the subclavian-axillary-brachial axis was identified. The treatment was carried out in two stages. In the first phase, urgent limb revascularization was performed using the great saphenous vein to perform a subclavian-brachial artery bypass. Later, the aneurysm was excluded using a vascular plug and multiple coils. Successful treatment was achieved with no morbidity for the patient. Conclusions Although the gold standard for treating upper limb aneurysms is open surgery, endovascular techniques can be a significant adjunct, reducing treatment morbidity and even mortality.

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Vascular Reconstruction of a Brachial Artery Aneurysm Proximally to an Arteriovenous Malformation

Cited by 3 publications

References 25 publications

Upper Extremity Arteriovenous Malformation Masquerading as a Biceps Ganglion Cyst

Upper Extremity Arteriovenous Malformation Masquerading as a Biceps Ganglion Cyst

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

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