Department of Surgery, University Hospital "Sestre milosrdnice", Zagreb, Croatia.
Wien Klin Wochenschr. 2010 Oct;122(19-20):588-91. doi: 10.1007/s00508-010-1425-y. Epub 2010 Sep 27.
True upper extremity peripheral artery aneurysms are a rarely encountered arterial disorder. Following computer-tomography angiographic (CT-a) imaging examination, true saccular aneurysm, originating from the left brachial artery was diagnosed in the 77-year-old female without history of trauma. The aneurysm was resected by surgical intervention, and primary repair of the brachial artery was performed by interposition of a part of great saphenous vein harvested from the left groin and creation of two end-to-end anastomoses between interposition graft and previously resected part of brachial artery. No complication was observed during the follow-up. Surgical intervention for upper extremity aneurysms should be initiated without delay. Factors combined with minimal morbidity associated with repair suggest that surgical repair should be performed routinely for true upper extremity arterial aneurysms.
真正的上肢周围动脉动脉瘤是一种罕见的动脉疾病。在计算机断层血管造影（CT-a）成像检查后，诊断出这位 77 岁的女性患者（无外伤史）左侧肱动脉真性囊状动脉瘤。通过手术干预切除动脉瘤，用取自左侧腹股沟的大隐静脉的一部分进行肱动脉的原位修复，在移植物和先前切除的肱动脉之间进行两个端端吻合。随访期间未观察到并发症。上肢动脉瘤的手术干预应毫不拖延地进行。结合与修复相关的最小发病率的因素表明，对于真性上肢动脉动脉瘤应常规进行手术修复。
