| Pseudoaneurysm of the brachial artery in a four-month-old boy: diagnosis and treatment. | |
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MedLine Citation:
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PMID: 23020543 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pseudoaneurysms arise from a disruption in the arterial wall and blood dissecting into the tissues around the damaged artery creating a perfused sac that communicates with the arterial lumen. Trauma to the wall of the artery may lead to the development of a pseudoaneurysm. Post-traumatic pseudoaneurysm development is very rare in the peripheral artery and often is a consequence of venipuncture. We have reported the case of the four-month-old boy who developed a pseudoaneurysm following an accidental arterial puncture. In the antecubital area we noticed a pulsative mass and palpable thrill. The patient underwent a Doppler ultrasound examination and CT with contrast. Surgery was indicated. Following excision of the pseudoaneurysm, an end-to-end anastomosis was performed. Follow-up for four years revealed palpable peripheral pulsation at the wrist level. In the postoperative period, all ultrasound findings were normal. End-to-end anastomosis is preferable if it can be performed without tension or damage to the major collateral vessels. |
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Authors:
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Mirko Žganjer; Vlasta Žganjer; Irenej Cigit; Ante Čizmić |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of Iranian medicine Volume: 15 ISSN: 1735-3947 ISO Abbreviation: Arch Iran Med Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-01 Completed Date: 2013-02-04 Revised Date: 2013-05-15 |
Medline Journal Info:
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Nlm Unique ID: 100889644 Medline TA: Arch Iran Med Country: Iran |
Other Details:
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Languages: eng Pagination: 650-1 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, Clinical Hospital, Zagreb, Klaićeva 16, Croatia. mirko.ganjer@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical Aneurysm, False / diagnosis, etiology*, surgery* Arm / blood supply Brachial Artery / injuries* Humans Infant Male Punctures / adverse effects* Tomography, X-Ray Computed Ultrasonography, Doppler |
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