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Myxomatosic aneurysm of a brachial artery in a child

B Yoffe1, E Charah

  • 1Department of General Surgery, Barzilai Medical Center, Ashkelon, Israel.

European Journal of Vascular Surgery
|July 1, 1993
PubMed

Insights

A rare brachial artery aneurysm in a child, characterized by myxomatous vessel wall damage, was successfully treated with a venous graft. This case highlights an unusual presentation of peripheral artery aneurysms in pediatric patients.

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology
  • Histopathology

Background:

  • Aneurysms typically affect larger arteries, and isolated peripheral artery aneurysms are uncommon in children.
  • Myxomatous changes are more frequently associated with cardiac myxomas rather than peripheral artery pathology.

Observation:

  • A 4.5-year-old child presented with an aneurysm of the brachial artery.
  • The aneurysm was surgically resected and reconstructed using an interposition venous graft.

Findings:

  • Histological examination revealed significant myxomatous degeneration of the brachial artery wall.
  • No cardiac myxoma was detected during cardiovascular examination.
  • A comprehensive literature search found no similar cases of isolated peripheral artery aneurysms with this histological finding in children.

Implications:

  • This case expands the understanding of potential causes for peripheral artery aneurysms in pediatric populations.
  • It underscores the importance of thorough histological evaluation for unusual vascular lesions.
  • Further research may be warranted to explore the etiology of myxomatous arterial disease in children.

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