True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

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dc.contributor.authorGonzalez-Urquijo, Mauricio
dc.contributor.authorMarine, Leopoldo
dc.contributor.authorVargas, Jose Francisco
dc.contributor.authorValdes, Francisco
dc.contributor.authorMertens, Renato
dc.contributor.authorBergoeing, Michel
dc.contributor.authorTorrealba, Jose
dc.date.accessioned2025-01-20T21:08:04Z
dc.date.available2025-01-20T21:08:04Z
dc.date.issued2022
dc.description.abstractPurpose: 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 (R) (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.
dc.fuente.origenWOS
dc.identifier.doi10.1177/15385744221095668
dc.identifier.eissn1938-9116
dc.identifier.issn1538-5744
dc.identifier.urihttps://doi.org/10.1177/15385744221095668
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93455
dc.identifier.wosidWOS:000792869700001
dc.issue.numero6
dc.language.isoen
dc.pagina.final627
dc.pagina.inicio622
dc.revistaVascular and endovascular surgery
dc.rightsacceso restringido
dc.subjectbrachial artery aneurysm
dc.subjectupper extremity arterial aneurysm
dc.subjectarterial aneurysm
dc.titleTrue Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft
dc.typeartículo
dc.volumen56
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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