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Upper extremity aneurysm in infants

M Itoh1, T Takato, M Yokota

  • 1Department of Plastic Surgery, Faculty of Medicine, University of Tokyo, Japan.

Insights

Pediatric traumatic aneurysms of upper extremity arteries are rare. This report details two infant cases: a brachial artery false aneurysm treated with reanastomosis and a digital artery true aneurysm treated with excision.

Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Traumatology

Background:

  • Traumatic aneurysms in infants are exceptionally rare, particularly in the upper extremities.
  • Aneurysms can be classified as true or false, depending on the involvement of all arterial wall layers.

Observation:

  • A 2-month-old female infant presented with a false aneurysm of the brachial artery.
  • An 8-month-old male infant was diagnosed with a true aneurysm of a common digital artery.

Findings:

  • The brachial artery false aneurysm in the infant was successfully treated with arterial reanastomosis.
  • The common digital artery true aneurysm in the other infant was successfully managed with simple excision.

Implications:

  • These cases highlight successful surgical interventions for rare pediatric upper extremity arterial aneurysms.
  • Early diagnosis and appropriate surgical management are crucial for favorable outcomes in infant traumatic aneurysms.

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