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Aneurysm I: Introduction01:30

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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...
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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
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Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
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Brachial artery pseudoaneurysm.

Katie Kemp1, Rami Radwan1, Guy Shingler1

  • 1Abertawe Bro Morgannwg University Health Board, Swansea, UK.

BMJ Case Reports
|May 27, 2014
PubMed
Summary
This summary is machine-generated.

A delayed complication of a humeral fracture, a brachial artery pseudoaneurysm, caused arm swelling and hand dysfunction. Surgical repair successfully treated the pseudoaneurysm, restoring some motor function.

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Area of Science:

  • Vascular Surgery
  • Orthopedic Surgery
  • Trauma Management

Background:

  • Delayed complications following fractures can present insidiously.
  • Brachial artery pseudoaneurysms are rare but serious vascular injuries.
  • Humeral fractures carry a risk of associated neurovascular compromise.

Observation:

  • An elderly male presented with a painless, pulsatile upper arm mass 8 months post-humeral fracture.
  • The patient experienced diminished right-hand motor function and paresthesia.
  • Physical examination revealed a large pulsatile mass in the upper arm.

Findings:

  • CT angiography confirmed an 11x7 cm brachial artery pseudoaneurysm.
  • Intraoperative findings revealed a humeral fragment had punctured the brachial artery.
  • Surgical repair of the pseudoaneurysm was successfully performed.

Implications:

  • Prompt diagnosis and surgical intervention are crucial for managing brachial artery pseudoaneurysms.
  • Successful repair can lead to recovery of neurovascular function.
  • This case highlights the importance of considering vascular complications in delayed fracture management.