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True aneurysmal disease in the hand and upper extremity.
E T Clark1, D P Mass, H S Bassiouny
1Department of Surgery, University of Chicago, Illinois 60637.
Annals of Vascular Surgery
|May 1, 1991
Summary
This study treated true aneurysms in the hand and forearm, excluding pseudoaneurysms. Surgical intervention achieved 100% patency, preventing digital amputations even in cases of severe ischemia.
Area of Science:
- Vascular Surgery
- Arterial Diseases
Background:
- True aneurysms of the hand and forearm are rare vascular conditions.
- Repetitive trauma is a potential contributing factor.
Observation:
- Ten patients with true aneurysms (excluding pseudoaneurysms) were treated.
- Patients presented with painful masses, neurologic symptoms, or ischemia due to thrombosis/embolization.
- Diagnostic tools included arteriography and Doppler ultrasound.
Findings:
- Surgical treatment involved excision and ligation (3 patients) or resection with vein graft reconstruction (7 patients).
- All procedures demonstrated 100% immediate and interval patency rates.
- No digital amputations were necessary, even in patients with severe distal ischemia.
Implications:
- Surgical management of true hand and forearm aneurysms can achieve excellent outcomes.
- Vein graft reconstruction is a viable option for preserving limb function.
- Prompt diagnosis and treatment can prevent severe complications like digital amputation.