Herniated post-traumatic radial artery pseudoaneurysm: excision with vascular reconstruction

We report a case of a well-built adult male who developed a radial artery pseudoaneurysm following trauma sustained from falling onto a piece of glass several months prior. The pseudoaneurysm herniated through the musculotendinous junction of the brachioradialis and was managed by excision, with arterial continuity restored using a vein graft harvested from the same surgical field. Literature regarding the management of radial artery pseudoaneurysm is limited due to their rarity. However, repair in young patients is recommended to preserve the dual arterial supply to the hand and prevent future complications associated with vessel ligation secondary to trauma (or iatrogenic injury) to the remaining inflow vessel, arteriosclerosis and vasculitis.