Nishimura Kengo, Hamasaki Takafumi, Fukino Syunsuke
Department of Surgery, Tottori Prefectural Kosei Hospital, Tottori, Japan.
Int J Angiol. 2016 Dec;25(5):e180-e182. doi: 10.1055/s-0036-1584901. Epub 2016 Jul 1.
Brachial artery (BA) aneurysms are rare, and most are false aneurysms. Although true BA aneurysms have been reported, most have been reported without symptoms. A 65-year-old man was referred due to a left upper limb mass with rest pain and slight ulceration of the left second and third fingers. As enhanced computed tomography revealed the patency of only the left proximal and distal BA as well as the thrombosed mass, excision of the aneurysm and BA replacement were performed with a great saphenous vein graft. The postoperative course was uneventful, and the rest pain and ulceration were resolved.
肱动脉（BA）动脉瘤较为罕见，且多数为假性动脉瘤。尽管有真性BA动脉瘤的报道，但大多数报道称其无症状。一名65岁男性因左上肢肿块伴静息痛以及左手第二和第三指轻度溃疡而前来就诊。增强计算机断层扫描显示仅左BA近端和远端通畅，以及血栓形成的肿块，遂采用大隐静脉移植进行动脉瘤切除和BA置换。术后过程顺利，静息痛和溃疡得以缓解。
