Case: Pseudoaneurysms of the hand are rare among the adult population and even more rare in pediatric patients. We report a case of a 10-month-old boy who presented with a nontraumatic pseudoaneurysm of the deep palmar arch, likely of congenital etiology. Magnetic resonance imaging and angiography identified the growing left hand palmar mass. Surgical excision without the need for vascular reconstruction was performed successfully with no recurrence or complications at 1-year follow-up.
Conclusion: Surgical excision is an effective treatment for large or symptomatic palmar pseudoaneurysms of likely congenital origin. Vascular reconstruction after excision must be considered on a case-by-case basis to ensure adequate hand perfusion.
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http://dx.doi.org/10.2106/JBJS.CC.23.00527 | DOI Listing |
Cureus
December 2024
Vascular Surgery, Unidade Local de Saúde São José, Lisbon, PRT.
Subclavian artery pseudoaneurysms (SAPs) are rare and most often secondary to trauma. On the contrary, a mycotic origin is exceedingly rare, and defining this etiology can become challenging. We present a rare case of a tuberculous SAP in a young patient.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
December 2024
Angiology and Vascular Surgery Department, Universitary Doctor Negrín Hospital, Las Palmas de Gran Canaria, Spain.
Pseudoaneurysms of the popliteal artery represent a rare vascular pathology. Leaving aside traumatic antecedents, in the presence of sudden swelling of the popliteal region, it is useful to suspect this entity, especially in the presence of infectious processes or connective tissue disorders. We present two cases from our institution where management included surgical intervention and control of the underlying diseases.
View Article and Find Full Text PDFEmerg Radiol
December 2024
Department of Radiology and Radiological Science, The Russell H. Morgan, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD, USA.
Non-traumatic acute renal artery emergencies encompass a spectrum of etiologies, including renal artery stenosis, arteriovenous malformations, aneurysms and pseudoaneurysms, dissections, thrombosis, and vasculitis. Prompt and accurate diagnosis in the emergency setting is crucial due to the potential for significant morbidity and mortality. Computed tomography (CT) and CT angiography (CTA) are the mainstay imaging modalities, offering rapid acquisition and high diagnostic accuracy.
View Article and Find Full Text PDFNeurosurg Rev
August 2024
Dow University of Health Sciences, Dow Medical College, Karachi, Pakistan.
Cerebral aneurysm rupture, the predominant cause of non-traumatic subarachnoid hemorrhage, underscores the need for effective treatment and early detection methods. A study in Neurosurgical Review compared microsurgical clipping to endovascular therapy in 130 patients with middle cerebral artery (MCA) aneurysms, finding significantly fewer serious adverse events (SAEs) and neurological complications in the endovascular group. This suggests endovascular therapy's superiority in safety and reducing complications for MCA aneurysm patients.
View Article and Find Full Text PDFEur J Case Rep Intern Med
July 2024
Department of Internal Medicine, Reading Hospital, West Reading, USA.
Introduction: Aortic pseudoaneurysms are a type of contained rupture where most of the aortic wall is breached, leaving only a thin rim of the remaining wall or adventitia to hold the blood. This condition carries a high risk of rupture and potentially fatal complications. Typically, patients present with chest pain; haemoptysis can also occur, though rarely.
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