O'Neill Stephen, O'Donnell Mark E, Collins Anton, Harkin Denis W
Department of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, UK.
Vasc Endovascular Surg. 2010 Nov;44(8):691-2. doi: 10.1177/1538574410377669. Epub 2010 Jul 30.
True brachial artery aneurysms remain extremely rare and are most commonly related to repetitive blunt trauma. Although operative repair of false aneurysms is well established, management of true aneurysms is varied due to their rarity. We present a true brachial artery aneurysm, in a 55-year old male, which occurred some 22-years following the repair of a posttraumatic false aneurysm. Following arterial duplex and computerised tomography, aneurysectomy with reversed interposition vein graft was performed.
真性肱动脉瘤仍然极为罕见,最常见于重复性钝性创伤。虽然假性动脉瘤的手术修复已很成熟,但真性动脉瘤由于其罕见性,治疗方法各不相同。我们报告一例55岁男性的真性肱动脉瘤,该动脉瘤发生在创伤后假性动脉瘤修复约22年后。经动脉双功超声和计算机断层扫描后,进行了动脉瘤切除术并采用了静脉倒置移植术。