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Arch Iran Med. 2012;15(10): 0.
PMID: 23020543
Scopus ID: 84867281891
  Abstract View: 954
  PDF Download: 547

Case Report

Pseudoaneurysm of the Brachial Artery in a Four-Month-Old Boy: Diagnosis and Treatment

Mirko Žganjer*, Vlasta Žganjer, Irenej Cigit, Ante Čizmić

Abstract

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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ePublished: 01 Oct 2012
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