Isoda Susumu, Kimura Tamizo, Nishimura Kenji, Yamanaka Nozomu, Nakamura Shingo, Arino Hiroshi, Amako Masatoshi, Maehara Tadaaki
Department of Cardiovascular Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.
Ann Vasc Dis. 2013;6(3):655-7. doi: 10.3400/avd.cr.13-00025. Epub 2013 Aug 30.
A 32-year-old male patient was admitted to the hospital with a pulsing mass of the right palm. He was an electrical construction engineer who frequently used a screwdriver. Computed tomography (CT) examination revealed a 22- × 30-mm saccular aneurysm of the right ulnar artery. The ulnar artery aneurysm was resected, and we could perform direct anastomosis of the ulnar artery. The dilated true aneurysm was compatible with a traumatic origin. A postoperative enhanced CT examination showed smooth reconstruction of the palmar arch. An occupational true aneurysm of the ulnar artery could be treated by resection and direct anastomosis.
一名32岁男性患者因右手掌搏动性肿块入院。他是一名电气施工工程师，经常使用螺丝刀。计算机断层扫描（CT）检查发现右侧尺动脉有一个22×30毫米的囊状动脉瘤。切除了尺动脉动脉瘤，我们能够对尺动脉进行直接吻合。扩张的真性动脉瘤符合创伤性起源。术后增强CT检查显示掌弓重建顺利。尺动脉的职业性真性动脉瘤可通过切除和直接吻合进行治疗。
