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A Rare Case of Brachial Artery Aneurysm in a 9-Month-Old Infant

Chung Yan Vernon Lee1, Ibrahim Natalwala1, Nasim Tahir2

  • 1Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Vascular and Endovascular Surgery
|August 30, 2023
PubMed

Insights

A 9-month-old infant successfully underwent surgery for a brachial artery aneurysm. This rare condition required a multidisciplinary team for effective management and reconstruction using a vein graft.

Area of Science:

  • Pediatric vascular surgery
  • Congenital arterial anomalies

Background:

  • True brachial artery aneurysms are rare in infants.
  • Early detection and intervention are crucial for favorable outcomes.

Approach:

  • Ultrasound and magnetic resonance angiography (MRA) were used for diagnosis.
  • Surgical excision and reconstruction with a reversed cephalic vein graft were performed.

Key Points:

  • A 2 cm x 2 cm true aneurysm of the left brachial artery was identified in a 9-month-old infant.
  • Vasculitis screening was negative, ruling out inflammatory causes.
  • The surgical team utilized a reversed cephalic vein graft for arterial reconstruction.

Conclusions:

  • Successful surgical management of a pediatric brachial artery aneurysm was achieved.
  • A multidisciplinary team approach is essential for managing such rare vascular conditions.
  • The infant recovered well with good distal perfusion after the procedure.

Keywords:
aneurysmarterybrachialinfantpaediatric

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