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True Brachial Artery Aneurysm Presenting as a Non-Pulsatile Mass
1Department of Radiodiagnosis (Ultrasound), Taihe Hospital, Hubei University of Medicine, Hubei, China.
JNMA; Journal of the Nepal Medical Association
|June 10, 2017
Summary
A rare true brachial artery aneurysm was diagnosed using color Doppler ultrasound in a 59-year-old male presenting with limb ischemia. Surgical repair with a saphenous vein graft successfully restored blood flow and saved the limb.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- Brachial artery aneurysms are uncommon vascular conditions, with true aneurysms being particularly rare.
- This case highlights the diagnostic and therapeutic challenges associated with true brachial artery aneurysms.
Observation:
- A 59-year-old male presented with a long-standing mass in his left upper limb, which acutely developed into severe pain, coldness, numbness, and skin discoloration.
- Physical examination revealed a pulseless left upper limb. Color Doppler ultrasound identified a non-pulsatile aneurysm of the brachial artery with distal thrombus.
Findings:
- Color Doppler ultrasound is crucial for the prompt diagnosis of brachial artery aneurysms, differentiating between true and false types.
- Successful revascularization was achieved through saphenous vein grafting, indicating the efficacy of surgical intervention.
Implications:
- Early diagnosis of true brachial artery aneurysms via ultrasound is vital for preventing limb-threatening complications.
- Surgical repair, such as vein grafting, is an effective treatment for brachial artery aneurysms, preserving limb function.
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