Document Detail

Pseudoaneurysm of the brachial artery in a four-month-old boy: diagnosis and treatment.
MedLine Citation:
PMID:  23020543     Owner:  NLM     Status:  MEDLINE    
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.
Mirko Žganjer; Vlasta Žganjer; Irenej Cigit; Ante Čizmić
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of Iranian medicine     Volume:  15     ISSN:  1735-3947     ISO Abbreviation:  Arch Iran Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-01     Completed Date:  2013-02-04     Revised Date:  2013-05-15    
Medline Journal Info:
Nlm Unique ID:  100889644     Medline TA:  Arch Iran Med     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  650-1     Citation Subset:  IM    
Department of Pediatric Surgery, Clinical Hospital, Zagreb, Klaićeva 16, Croatia.
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MeSH Terms
Anastomosis, Surgical
Aneurysm, False / diagnosis,  etiology*,  surgery*
Arm / blood supply
Brachial Artery / injuries*
Punctures / adverse effects*
Tomography, X-Ray Computed
Ultrasonography, Doppler

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