Clin Case Rep Int | Volume 7, Issue 1 | Case Report | Open Access

An Extremely Rare Case of True Brachial Artery Aneurysm: Surgical Approach with Prosthetic Graft

Maiorano M¹, Annuvolo PA^2*, Aloisi G³, Picone V¹, Modugno FM⁴, Centritto EM¹ and Modugno P¹

¹Unit of Vascular Surgery, Gemelli Molise Hospital, Italy
²Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS - Università Cattolica del Sacro Cuore, Italy
³Anesthesia and Intensive Care Unit, Gemelli Molise Hospital, Italy
⁴Medicine and Surgery School of Medicine, Università Cattolica del Sacro Cuore, Italy

^*Correspondance to: Pierfrancesco Antonio Annuvolo 

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

Citation:

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.