Ratschiller Thomas, Müller Hannes, Schachner Thomas, Zierer Andreas
1 Department of Cardiothoracic and Vascular Surgery, Kepler University Hospital, Linz, Austria.
Vasc Endovascular Surg. 2018 Jul;52(5):395-397. doi: 10.1177/1538574418764058. Epub 2018 Mar 19.
We report a case of a 64-year-old man who developed a painful pulsatile mass in the distal forearm after a bicycle fall with fracture of the wrist. Ultrasonography confirmed a 2.5-cm large pseudoaneurysm of the radial artery. The patient underwent surgical exploration. The pseudoaneurysm was resected and the defect in the arterial wall was reconstructed with an autologous saphenous vein patch. We suggest that the double arterial supply of the hand should be preserved whenever possible.
我们报告一例64岁男性病例,该患者在骑自行车摔倒致手腕骨折后,在前臂远端出现一个疼痛性搏动性肿块。超声检查证实为桡动脉2.5厘米大的假性动脉瘤。患者接受了手术探查。切除假性动脉瘤,并用自体大隐静脉补片修复动脉壁缺损。我们建议尽可能保留手部的双重动脉供血。