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Herniated post-traumatic radial artery pseudoaneurysm: excision with vascular reconstruction
Karthick Ganesan1, Shivangi Saha1, Aparna Sinha1
1Plastic Reconstructive & Burns Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Reports
|March 26, 2025
Summary
A rare radial artery pseudoaneurysm, caused by trauma, was successfully treated with surgical excision and vein grafting. Early repair is advised in young patients to maintain hand blood supply and avoid complications.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Case Report
Background:
- Radial artery pseudoaneurysms are uncommon vascular injuries.
- Trauma is a potential cause of pseudoaneurysm formation.
- Limited literature exists on the optimal management of radial artery pseudoaneurysms.
Purpose of the Study:
- To report a case of radial artery pseudoaneurysm following trauma.
- To describe the surgical management of this rare condition.
- To emphasize the importance of preserving arterial continuity.
Main Methods:
- Surgical excision of the pseudoaneurysm.
- Restoration of arterial continuity using an autologous vein graft.
- Harvesting of the vein graft from the ipsilateral forearm.
Main Results:
- Successful excision of the radial artery pseudoaneurysm.
- Effective restoration of blood flow to the hand via vein grafting.
- No immediate postoperative complications reported.
Conclusions:
- Surgical repair with vein grafting is a viable option for radial artery pseudoaneurysms.
- Preserving the radial artery is crucial for maintaining adequate hand perfusion.
- Timely intervention can prevent long-term complications associated with arterial compromise.
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