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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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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...
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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...
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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 coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
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Atraumatic Left Distal Radial Artery Aneurysm.

Joseph Maalouly1, Dany Aouad1, Elias Saidy1

  • 1Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O.Box 166378, Achrafieh, Beirut 1100 2807, Lebanon.

Case Reports in Orthopedics
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Summary

This study presents a rare case of an idiopathic distal radial artery aneurysm in a 73-year-old female. Surgical excision was successful, highlighting the importance of prompt diagnosis and surgical intervention for these uncommon vascular conditions.

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Area of Science:

  • Vascular Surgery
  • Radiology
  • Case Study

Background:

  • Distal radial artery aneurysms are rare vascular pathologies.
  • Idiopathic or atraumatic etiologies are exceptionally uncommon.
  • Accurate diagnosis is crucial to prevent mismanagement and increased morbidity.

Observation:

  • A 73-year-old female presented with a pulsatile wrist mass.
  • Radiological imaging confirmed a distal radial artery aneurysm.
  • The aneurysm was located in the anatomical snuffbox region.

Findings:

  • Surgical excision and ligation of the affected radial artery were performed successfully.
  • The case highlights the rarity of idiopathic distal radial artery aneurysms.
  • Discussion of etiologies and surgical management aligns with existing literature.

Implications:

  • Early and accurate diagnosis of distal radial artery aneurysms is essential.
  • Surgical intervention is the generally accepted and appropriate management strategy.
  • This case contributes to the understanding of rare vascular presentations and their surgical treatment.