Gangopadhyay Noopur, Chong Tae, Chhabra Avneesh, Sammer Douglas M
Department of Plastic Surgery, The Ohio State University, Columbus, Ohio; Division of Plastic Surgery, University of Colorado, Denver, Colo.; Department of Radiology, and Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, Tex.
Plast Reconstr Surg Glob Open. 2016 Feb 19;4(2):e625. doi: 10.1097/GOX.0000000000000609. eCollection 2016 Feb.
Congenital upper extremity aneurysms are very rare and can be challenging to diagnose and treat. Although they can present as an isolated finding, they are often associated with other systemic conditions. We present a rare case of brachial artery aneurysm in a 7-month-old boy. The patient was evaluated with ultrasound, magnetic resonance angiography, and vein mapping before surgical reconstruction. After excision of the aneurysm, the brachial artery was reconstructed with an interposition saphenous vein graft. Because of potentially associated diagnoses and the possibility of concurrent aneurysms, this condition requires multidisciplinary management.
先天性上肢动脉瘤非常罕见,诊断和治疗颇具挑战性。尽管它们可能表现为孤立性病变,但常与其他全身性疾病相关。我们报告一例7个月大男童肱动脉瘤的罕见病例。手术重建前,对该患者进行了超声、磁共振血管造影和静脉造影评估。切除动脉瘤后,用一段隐静脉移植血管重建肱动脉。鉴于可能存在相关诊断及并发动脉瘤的可能性,这种情况需要多学科管理。