Diagnosis and Management of a 4-Year-Old Male with Ulnar Artery Pseudoaneurysm

Nicolas Artz1, Harel Scwartzberg1, Aran Yoo1

  • 1Department of Orthopaedic Surgery, Louisiana State University Health Science Center, New Orleans, Louisiana.

Eplasty
|January 17, 2024
PubMed

Insights

Pediatric pseudoaneurysms, rare vascular injuries, can lead to complications if misdiagnosed. This case highlights successful surgical reconstruction of a pediatric ulnar artery pseudoaneurysm using an arterial graft.

Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Radiology

Background:

  • Pseudoaneurysms result from intimal tears causing hemorrhage.
  • Upper extremity pseudoaneurysms are common in adults due to trauma.
  • Pediatric pseudoaneurysms are rare and often misdiagnosed, risking complications.

Observation:

  • A 4-year-old male presented with a right ulnar artery pseudoaneurysm.
  • Diagnosis was confirmed via ultrasound and CT angiography.
  • Surgical resection and arterial graft reconstruction were performed.

Findings:

  • The ulnar artery was reconstructed using a graft from the lateral circumflex femoral artery.
  • Arterial patency was confirmed by strip and Allen's tests.
  • Successful reconstruction of the pediatric pseudoaneurysm was achieved.

Implications:

  • Highlights the importance of timely diagnosis and management of pediatric pseudoaneurysms.
  • Advocates for arterial reconstruction in pediatric cases, irrespective of collateral flow.
  • Provides insights into surgical techniques for rare pediatric vascular injuries.
Abstract

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