Ghaffarian Amir A, Brooke Benjamin S, Rawles Jay, Sarfati Mark
Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.
Division of Vascular Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
J Vasc Surg Cases Innov Tech. 2018 Dec 4;4(4):292-295. doi: 10.1016/j.jvscit.2018.08.005. eCollection 2018 Dec.
Radial artery aneurysms are exceedingly rare, with only a few reported cases of surgical revascularization. We describe a 25-year-old man who presented with severe ischemia of the right hand secondary to an idiopathic true radial artery aneurysm at the anatomic snuff box. The patient had embolic occlusions in his hand and fingers that were treated with catheter-directed thrombolysis. During angiography, the blood supply to the affected hand was determined to be radial artery dominant, and therefore the aneurysm was resected and revascularized using an interposition great saphenous vein graft. The patient denied ischemic symptoms postoperatively, and duplex ultrasound examination at a 10-month follow-up showed patent interposition graft.
桡动脉动脉瘤极为罕见，仅有少数关于手术血运重建的病例报道。我们描述了一名25岁男性，其因位于解剖学鼻烟壶处的特发性真性桡动脉动脉瘤继发右手严重缺血前来就诊。该患者手部和手指存在栓塞性闭塞，接受了导管定向溶栓治疗。在血管造影期间，确定患手的血供以桡动脉为主，因此切除了动脉瘤，并使用大隐静脉移植进行血运重建。患者术后否认有缺血症状，10个月随访时的双功超声检查显示移植血管通畅。
