A Rare Case of Brachial Artery Aneurysm in a 9-Month-Old Infant.

Vasc Endovascular Surg

Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Published: February 2024

AI Article Synopsis

  • A 9-month-old infant was diagnosed with a true aneurysm in the left brachial artery, first noticed at 7 months of age.
  • An ultrasound revealed a 2 cm × 2 cm aneurysm, confirmed by magnetic resonance angiography, and no signs of other aneurysms or vasculitis.
  • The treatment involved surgical excision and reconstruction using a reversed cephalic vein graft, and the infant recovered well, highlighting the importance of a multi-disciplinary team in managing this rare condition.

Article Abstract

An otherwise healthy 9-month-old infant was treated for a true aneurysm of the proximal brachial artery. The swelling was first noted at seven months of age. An ultrasound scan showed a 2 cm × 2 cm aneurysm of the left brachial artery at the level of the mid-upper arm. Whole-body magnetic resonance angiography (MRA) confirmed this was a true aneurysm of the brachial artery; there was good distal runoff and no other aneurysms elsewhere. Vasculitis screen was negative. Surgical excision of the aneurysm and reconstruction of the brachial artery was performed with a reversed cephalic vein graft. The patient made an uneventful recovery and was discharged home. We present an overview of the workup report and emphasise that a multi-disciplinary team approach is imperative for assessing and managing this rare condition.

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Source
http://dx.doi.org/10.1177/15385744231198944DOI Listing

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