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[Post-traumatic aneurysm of humeral artery]

B San Vicente1, M Castañón, J Mulet

  • 1Servicio de Cirugía Pediátrica, Unidad Integrada Hospital Sant Joan de Déu-Clínic, Universidad de Barcelona, Barcelona.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|February 27, 2003
PubMed

Insights

Pediatric aneurysms, often caused by blunt trauma, can present as pulsatile masses. Surgical repair of traumatic humeral artery pseudoaneurysms in children offers successful outcomes.

Area of Science:

  • Vascular Surgery
  • Pediatric Traumatology
  • Diagnostic Imaging

Background:

  • Aneurysms are rare in children, differing from adult cases primarily due to etiology.
  • In pediatric populations, traumatic injury is a significant cause of arterial aneurysms, specifically pseudoaneurysms, resulting from blunt force disruption of the arterial wall.

Observation:

  • Aneurysms in children are frequently asymptomatic or manifest as a palpable, pulsating mass along an artery.
  • A case is presented involving a young female who developed a pulsatile mass in her right upper limb following blunt trauma.
  • The mass was identified as an aneurysm of the humeral artery.

Findings:

  • Diagnosis was confirmed using Doppler ultrasound and angiography, standard imaging modalities for vascular abnormalities.
  • The humeral artery aneurysm was successfully treated through surgical resection.
  • Arterial wall reconstruction was performed following aneurysm removal.

Implications:

  • This case highlights the importance of considering traumatic etiology in pediatric arterial aneurysms.
  • Prompt diagnosis and surgical intervention are crucial for managing traumatic pseudoaneurysms in children.
  • Successful surgical management ensures restoration of arterial integrity and function, preventing long-term complications.

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