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Brachial artery aneurysm in a neonate
1Children's Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan, Russia.
Summary
This case report details the successful surgical repair of a rare congenital brachial artery aneurysm in a newborn. Early diagnosis and intervention are crucial for managing this uncommon pediatric vascular condition.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
- Medical Genetics
Background:
- Congenital true brachial artery aneurysms are exceedingly rare in newborns.
- Early detection of pediatric arterial aneurysms is challenging.
- Idiopathic arterial aneurysms in children often lack underlying vascular or cardiac pathology.
Observation:
- A 7-day-old infant presented with a progressing congenital true brachial artery aneurysm.
- Symptoms included aneurysm enlargement, neurological deficits, and limb dysfunction.
- Clinical and ultrasonographic evaluations preceded surgical intervention.
Findings:
- Surgical excision of the brachial artery aneurysm was successfully performed.
- Restoration of brachial artery continuity was achieved via end-to-end anastomosis.
- Histological examination confirmed a true aneurysm involving all three vessel layers.
Implications:
- This case highlights the importance of prompt surgical management for congenital brachial artery aneurysms.
- Effective treatment can restore limb function and prevent further complications.
- Further research into the etiology and optimal management of pediatric arterial aneurysms is warranted.
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