Vascular Reconstruction of a Brachial Artery Aneurysm Proximally to an Arteriovenous Malformation.

Vasc Endovascular Surg

Division of Interventional Radiology, Joint Department of Medical Imaging, Toronto General Hospital, University Health Network, University of Toronto, Ontario, Canada.

Published: January 2020

AI Article Synopsis

  • Brachial artery aneurysms and arteriovenous malformations (AVMs) are serious vascular issues that can threaten limb health.
  • A patient had a bilobed brachial artery aneurysm located near an AVM previously treated by endovascular embolization, leaving the hand dependent on the radial artery for blood supply.
  • The aneurysm grew larger and developed a thrombus, but after a repair using a femoral vein graft, the patient regained full function of their left arm.

Article Abstract

Brachial artery aneurysms and arteriovenous malformations (AVM) are limb-threatening vascular anomalies. This patient presented with a bilobed brachial artery aneurysm in the antecubital fossa proximally to an AVM arising from the dorsal interosseous and ulnar arteries that had been treated with endovascular embolization, leaving the hand solely supplied by the radial artery. The aneurysm continued to increase in size and imaging revealed concomitant thrombus. A femoral vein interposition graft was used to repair the aneurysm, and postoperatively, the patient retained full left arm function.

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http://dx.doi.org/10.1177/1538574419873745DOI Listing

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