AI Article Synopsis
- The case discusses a brachial artery aneurysm found in a patient with HIV, highlighting the rare occurrence of aneurysms in specific arteries associated with this infection.
- Chronic inflammation around blood vessels in these patients suggests a unique clinical condition, characterized by the presence of immune cells like plasma cells and lymphocytes.
- Surgical repair is the recommended treatment, with preference for using the patient’s own tissue over synthetic grafts due to increased infection risks in immunocompromised individuals.
Article Abstract
The authors present a case of a brachial artery aneurysm in a patient with HIV infection. Aneurysms of unusual arteries, such as the common carotid, brachiocephalic, subclavian, superior mesenteric arteries and arteries of the upper extremity distal to the axillary artery, may be related to HIV infection. Chronic inflammatory infiltrate (plasma cells, B and T lymphocytes) around the vasa vasorum is noted in many reports. This condition may represent a "distinct clinicopathology entity". The best therapeutic option is operative repair. Reconstruction with autologous material is preferable since bacterial involvement of synthetic grafts is possible in individuals with an immunocompromised condition.
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