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Crutch-induced bilateral brachial artery aneurysms
Takanori Konishi1, Shin-ichi Ohki, Tsutomu Saito
1Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
Interactive Cardiovascular and Thoracic Surgery
|September 29, 2009
Summary
A 57-year-old man experienced sudden right forearm ischemia due to a brachial artery aneurysm and occlusion. Surgical repair with a saphenous vein graft was successful, revealing a second asymptomatic aneurysm.
Area of Science:
- Vascular Surgery
- Medical Imaging
Background:
- Poliomyelitis can lead to long-term mobility issues, such as the need for chronic crutch use.
- Arterial aneurysms, particularly in the brachial artery, can present with acute ischemic complications.
Observation:
- A 57-year-old male, a chronic axillary crutch user post-poliomyelitis, presented with acute right forearm ischemia and pulselessness.
- Three-dimensional computed tomography (3DCT) identified a thrombosed aneurysm of the right brachial artery with associated arterial occlusion.
Findings:
- Surgical resection of the thrombosed brachial artery aneurysm was performed.
- Successful revascularization was achieved by interposing a saphenous vein graft.
- Postoperative 3DCT revealed an incidental, asymptomatic left brachial artery aneurysm.
Implications:
- This case highlights the importance of considering vascular complications in patients with long-term sequelae of poliomyelitis.
- Early diagnosis and surgical intervention are crucial for limb salvage in cases of brachial artery aneurysm with occlusion.
- The presence of bilateral brachial artery aneurysms warrants careful monitoring and management.
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