Related Experiment Video
Updated: Jun 20, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Delayed presentation of a traumatic brachial artery pseudoaneurysm
James C Forde1, John B Conneely, Sayed Aly
1Department of Vascular Surgery, Mater Misericordiae Univeristy Hospital, Dublin, Ireland. fordejames@yahoo.com
Summary
A delayed brachial artery pseudoaneurysm after penetrating trauma is rare. This case highlights successful surgical repair using a vein graft for a patient presenting months after injury.
Area of Science:
- Vascular Surgery
- Trauma Management
- Arterial Reconstruction
Background:
- Delayed presentation of brachial artery pseudoaneurysms following penetrating trauma is uncommon.
- Pseudoaneurysms can develop insidiously after vascular injury.
Observation:
- A 23-year-old male presented with acute swelling and tenderness in the elbow three months post-penetrating trauma.
- Imaging confirmed a large pseudoaneurysm in the antecubital fossa.
Findings:
- Diagnostic imaging included Doppler ultrasound and computed tomography arteriography.
- Surgical reconstruction utilized a long saphenous vein interposition graft.
Implications:
- Successful surgical management of delayed brachial artery pseudoaneurysms is achievable.
- Vein grafting offers a viable option for restoring arterial patency in complex cases.
- This case expands understanding of the delayed sequelae of penetrating limb trauma.
Related Concept Videos
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...