Journal Basic Info
- Impact Factor: 0.285**
- H-Index: 6
- ISSN: 2638-4558
- DOI: 10.25107/2638-4558
Major Scope
- Orthopedics & Rheumatology
- Physical Medicine & Rehabilitation
- Endocrinology
- Surgical
- Internal Medicine
- Cardiovascular Medicine
- Physiotherapy
- Plastic Surgery
Abstract
Citation: Clin Case Rep Int. 2023;7(1):1487.DOI: 10.25107/2638-4558.1487
An Extremely Rare Case of True Brachial Artery Aneurysm: Surgical Approach with Prosthetic Graft
Maiorano M, Annuvolo PA, Aloisi G, Picone V, Modugno FM, Centritto EM and Modugno P
Unit of Vascular Surgery, Gemelli Molise Hospital, Italy
Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS - Università Cattolica del Sacro Cuore, Italy
Anesthesia and Intensive Care Unit, Gemelli Molise Hospital, Italy
Medicine and Surgery School of Medicine, Università Cattolica del Sacro Cuore, Italy
*Correspondance to: Pierfrancesco Antonio Annuvolo
PDF Full Text Case Report | Open Access
Abstract:
Background: True aneurysms of the brachial artery are an extremely rare disease, due to a variety of causes. They can present as a pulsating mass causing pain or paresthesia’s from nerve compression or result in hand or digital ischemia. Diagnosis is based on physical examination, duplex ultrasound and CTA for operative planning. Case Report: A 60-year-old male patient with a history of AVF closure after renal transplantation presented to our institution with pain and swelling of the left arm due to a brachial artery aneurysm. We performed a successful resection of the aneurysm and a brachial artery reconstruction using a prosthetic graft. Conclusion: There is some evidence of association between AVF creation and BAA occurrence. Immunosuppression may also contribute to the development of aneurysmal pathology. Surgical repair is the treatment of choice, although in some cases the endovascular approach may be considered. The use of a prosthetic graft for artery reconstruction may be a valid alternative when an autologous vein is not feasible. Further studies are needed to better understand causes, evolutions and correct management of aneurysms of the brachial artery and to evaluate long-term outcomes of prosthetic graft use.
Keywords:
Brachial artery; Aneurysm; Peripheral aneurysm; Prosthetic graft
Cite the Article:
Maiorano M, Annuvolo PA, Aloisi G, Picone V, Modugno FM, Centritto EM, et al. An Extremely Rare Case of True Brachial Artery Aneurysm: Surgical Approach with Prosthetic Graft. Clin Case Rep Int. 2023; 7: 1487.