Al-Omran Mohammed
Department of Surgery, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
J Vasc Surg. 2007 Apr;45(4):841-3. doi: 10.1016/j.jvs.2006.11.041.
True aneurysms of the hand arteries are rare and are exceedingly uncommon in children. Presented is a case of a true ulnar artery aneurysm in an 18-month-old boy in which there was no history of trauma. The aneurysm was resected without reconstruction because of the normal preoperative Allen test result, normal preoperative finger pressure measurement with ulnar artery occlusion, the angiographic evidence that the radial artery was the dominant artery of the hand, and intraoperative evidence of adequate hand perfusion after excluding the aneurysm from the hand circulation as documented by good Doppler signals in all digital arteries.
手部动脉真性动脉瘤罕见，在儿童中极为少见。本文报告一例18个月大男孩的尺动脉真性动脉瘤病例，该患儿无外伤史。由于术前Allen试验结果正常、术前尺动脉闭塞时手指压力测量正常、血管造影显示桡动脉是手部的主要供血动脉以及术中排除动脉瘤后手部循环灌注充足（所有指动脉的多普勒信号良好），故未进行重建手术，直接切除了动脉瘤。
