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Arterial Palmar Arch Aneurysms Management: Case Series.
Ricardo Augusto Carvalho Lujan1, Miguel Godeiro Fernandez2, Fernanda Costa Sampaio Silva3
1Vascular Surgery Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Brazil.
Vascular and Endovascular Surgery
|May 19, 2025
Summary
True aneurysms of the palmar arch in the hand are rare vascular conditions. Surgical resection with vessel ligation offers a safe and effective treatment, achieving excellent outcomes in these unique cases.
Area of Science:
- Vascular Surgery
- Hand Surgery
- Arterial Aneurysms
Background:
- True aneurysms of the upper limb, especially in the hand, are exceptionally rare.
- Management of these aneurysms presents unique challenges due to their location and potential impact on hand function.
Purpose of the Study:
- To report two surgically treated cases of true arterial palmar arch aneurysms.
- To discuss the management and outcomes of these rare vascular lesions.
Main Methods:
- Case report of two patients with palmar arch aneurysms (ulnar and radial artery).
- Surgical intervention involved proximal and distal vessel ligation and aneurysm resection under local anesthesia.
- Postoperative follow-up was conducted for 5 years.
Main Results:
- Both patients presented with local pain and confirmed aneurysms via diagnostic imaging.
- Successful surgical treatment with no immediate or long-term complications.
- Patients were discharged on the first postoperative day with a 5-year follow-up showing no vascular issues.
Conclusions:
- True palmar arch aneurysms are rare and necessitate individualized treatment approaches.
- Surgical options, including ligation and resection, are effective and safe for managing these conditions.
- Tailoring treatment to the specific clinical presentation and vascular status is crucial for optimal outcomes.
