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A traumatic ulnar artery aneurysm in an infant
Rika Odajima1, Soh Nishimoto1, Kenichiro Kawai1
1Department of Plastic Surgery, Hyogo College of Medicine, Nishinomiya 663-8501, Japan.
Journal of Surgical Case Reports
|April 22, 2021
Summary
A rare infantile ulnar artery aneurysm in an 8-month-old was successfully resected. The infant experienced no functional deficit, highlighting surgical management for pediatric vascular anomalies.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
- Infant Health
Background:
- Ulnar artery aneurysms are exceptionally rare in infants, with limited documented cases.
- This report details a unique case of a true ulnar artery aneurysm in an 8-month-old infant.
Observation:
- The infant presented with a pulsating mass on the hypothenar eminence.
- The aneurysm was compressing the ulnar nerve, potentially causing neurological deficits.
- A history of a fall was noted, suggesting a possible traumatic etiology.
Findings:
- Surgical resection of the ulnar artery aneurysm was performed using a surgical microscope.
- Vascular reconstruction was intentionally omitted.
- The infant exhibited no post-operative functional deficits or growth disturbances.
Implications:
- Surgical excision is a viable treatment for pediatric ulnar artery aneurysms.
- Avoiding vein grafts for arterial reconstruction in the hypothenar region is advisable due to venous fragility.
- This case contributes to the limited literature on infantile vascular anomalies and their management.
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