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A Large True Brachial Artery Aneurysm in an Infant
Jahanzeb Kaikaus1, Marcus D Moseley1, Amit J Dwivedi1
1Department of Surgery, 5170University of Louisville, Louisville, KY, USA.
Insights
A rare brachial artery aneurysm in an infant was successfully treated with lateral aneurysmorraphy. This surgical approach allows for future interventions as the child grows, offering a viable management option for pediatric arterial aneurysms.
Area of Science:
- Pediatric Vascular Surgery
- Infant Cardiology
- Pediatric Radiology
Background:
- Brachial artery aneurysms are rare in infants.
- Incidental finding of a pulsatile mass in a 6-month-old male infant.
Purpose of the Study:
- To present a case of infant brachial artery aneurysm.
- To evaluate the efficacy of lateral aneurysmorraphy in pediatric patients.
Main Methods:
- CT angiogram to diagnose brachial artery aneurysm (3 cm).
- Surgical intervention using lateral aneurysmorraphy.
- Postoperative neurovascular examination.
Main Results:
- Successful surgical repair of the brachial artery aneurysm.
- Intact neurovascular status postoperatively.
- Lateral aneurysmorraphy allows for future monitoring and intervention.
Conclusions:
- Lateral aneurysmorraphy is a viable surgical option for infant brachial artery aneurysms.
- This technique facilitates long-term management and growth adaptation.
- Further research on long-term outcomes is needed.
Abstract:
A 6-month-old male was admitted to the children's hospital for management of an underlying gastrointestinal illness. During his admission, a large, pulsatile mass was incidentally noted in the left upper arm concerning for an expanding pseudoaneurysm. Vascular surgery was consulted, and further workup with a CT angiogram demonstrated a brachial artery aneurysm 3 cm in greatest diameter. The patient was taken to the operating room, where lateral aneurysmorraphy was performed without complication. His neurovascular exam remained intact postoperatively. The presented case demonstrates a viable approach to the surgical management of this clinical challenge in infants. Although reports of brachial artery aneurysm in this age group are rare in the literature, resection with primary repair and interposition grafting have also been described. Long-term outcomes are not available in these cases. Lateral aneurysmorraphy allows for ongoing monitoring and future resection and bypass of the aneurysm as the patient continues to grow.
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