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Symptomatic brachial artery aneurysm in a child
J I Fann1, J Wyatt, R L Frazier
1Department of Surgery, Stanford University Medical Center, CA.
Journal of Pediatric Surgery
|December 1, 1994
Summary
A young boy experienced stroke-like symptoms due to a brachial artery aneurysm. Prompt surgical repair of the brachial artery aneurysm prevented limb loss and led to a good long-term outcome.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
Background:
- Brachial artery aneurysms are rare in children.
- Aneurysms can lead to thromboembolic complications, causing transient ischemic symptoms.
Observation:
- A 3-year-old boy presented with transient ischemic symptoms.
- The symptoms were caused by thromboembolism from a left brachial artery aneurysm.
- The aneurysm was not associated with trauma, autoimmune, or connective tissue disorders.
Findings:
- Emergency resection and grafting of the left brachial artery aneurysm were performed.
- Two months later, a right brachial artery aneurysm was diagnosed and electively resected with grafting.
- The patient remained asymptomatic with no further aneurysm formation at 3-year follow-up.
Implications:
- Early diagnosis and surgical intervention for brachial artery aneurysms are crucial to prevent limb threat or loss.
- Surgical resection is recommended when feasible or when thrombus is present.
- Continuous follow-up is essential for patients with upper extremity aneurysms to detect new or coexisting aneurysms.