Osipov D V, Nurmeev I N
Children's Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan, Russia.
Children's Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan, Russia; Kazan State Medical University of the RF Ministry of Public Health, Kazan, Russia.
Angiol Sosud Khir. 2020;26(1):157-160. doi: 10.33529/ANGIO2020105.
Presented in the article is a clinical case report concerning successful surgical treatment of a rare disease - a progressing congenital true brachial artery aneurysm in a newborn girl. The symptoms were first noted at the age of 7 days, later on followed by enlargement of the aneurysm, appearance of neurological symptoms, and impaired function of the extremity. The infant was subjected to clinical examination and ultrasonographic study, followed by surgical removal of the aneurysm and restoration of the brachial artery by an 'end-to-end' anastomosis. The diagnosis was finally verified only at histological examination. Also contained in the article is a review of the literature underlining that paediatric arterial aneurysms are extremely uncommon, as well as discussing the problems of diagnosis and therapeutic policy. The dilatation of the vessel turned out to be a true aneurysm with all three layers of the vessel in the wall and belonged to the class of paediatric congenital idiopathic arterial aneurysms unassociated with degeneration of the vascular wall or cardiovascular pathology.
本文介绍了一例临床病例报告，内容为成功手术治疗一名患有罕见疾病的新生儿女孩——进展性先天性真性肱动脉瘤。症状最初在7日龄时被发现，随后动脉瘤增大，出现神经症状，肢体功能受损。对该婴儿进行了临床检查和超声检查，随后通过“端端”吻合术手术切除动脉瘤并修复肱动脉。最终仅在组织学检查时才得以确诊。文章还对文献进行了综述，强调小儿动脉动脉瘤极为罕见，并讨论了诊断和治疗策略问题。结果发现血管扩张是一个真性动脉瘤，血管壁的三层结构均存在，属于小儿先天性特发性动脉动脉瘤类别，与血管壁退变或心血管病变无关。
