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Brachial artery pseudoaneurysm in a 6-week-old infant
Kenneth W Gow1, James Mykytenko, Ellen L Patrick
1Department of Surgery, Emory University, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
The American Surgeon
|June 24, 2004
Summary
Arterial pseudoaneurysms can occur in infants after vascular access. Prompt diagnosis and surgical repair of brachial artery pseudoaneurysms are crucial for limb growth and function.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Diagnostic Imaging
Background:
- Arterial trauma can cause pseudoaneurysms, particularly after vascular access attempts in neonates.
- Management options for pediatric pseudoaneurysms, especially in neonates, are limited.
Observation:
- A 6-week-old infant presented with an enlarging right upper extremity mass and absent radial pulse.
- Diagnostic workup included radiographs, Doppler ultrasound, and MRI, confirming a brachial artery pseudoaneurysm.
Findings:
- The infant underwent successful primary repair of the brachial artery by oversewing the defect.
- Intraoperative findings showed restored arterial flow and a palpable radial pulse.
Implications:
- Early diagnosis of pseudoaneurysms in infants with a history of vascular access and a developing mass is essential.
- Doppler ultrasound and MRI are valuable diagnostic tools.
- Primary surgical repair of brachial artery pseudoaneurysms ensures limb growth and normal function.