Coelho Nuno H, Barreto Paulo, Martins Victor, Nogueira Clara, Campos Jacinta, Coelho Andreia, Augusto Rita, Semião Carolina, Pinto Evelise, Ribeiro João, Canedo Alexandra
Department of Angiology and Vascular Surgery, Centro Hospitalar, Vila Nova de Gaia/Espinho, Portugal.
Faculty of Medicine, University of Porto, Porto, Portugal.
EJVES Short Rep. 2018 Dec 27;42:12-14. doi: 10.1016/j.ejvssr.2018.11.002. eCollection 2019.
Peripheral artery aneurysms are a rare manifestation of Kawasaki disease (KD), with an estimated incidence of approximately 2% of all KD patients. The case of a 14-year-old girl with past clinical history suggestive of KD is reported; she presented with an aneurysm located in the brachial part of a superficial brachioulnoradial artery, still with the genuine brachial artery in place (an anatomical variation with a reported incidence of 0.14-1.3% in general population). Relevant medical data were collected from the hospital database.
This is a report of a case of a symptomatic superficial brachioulnoradial artery aneurysm, secondary to KD, treated with aneurysm exclusion and superficial brachioulnoradial to the genuine brachial artery transposition. Uneventful intra- and postoperative course with symptom resolution is reported.
The coexistence of a rare manifestation of KD (peripheral aneurysm) with an even rarer brachial artery variation allowed a simple but elegant solution, making this a unique case.
外周动脉瘤是川崎病（KD）的一种罕见表现，估计在所有KD患者中的发生率约为2%。本文报告了一例14岁女孩的病例，其既往临床病史提示患有KD；她出现了一个位于浅表肱尺桡动脉肱部的动脉瘤，肱动脉仍在原位（这是一种解剖变异，在一般人群中的发生率报告为0.14 - 1.3%）。相关医学数据从医院数据库中收集。
本文报告了一例因KD继发的有症状的浅表肱尺桡动脉瘤病例，采用动脉瘤切除术及浅表肱尺桡动脉至肱动脉原位转位术进行治疗。报告了术中及术后过程顺利，症状得以缓解。
KD的一种罕见表现（外周动脉瘤）与一种更为罕见的肱动脉变异同时存在，使得我们采用了一种简单而巧妙的解决方案，从而使该病例具有独特性。
