Soto Edgar, Ananthasekar Shivani, Passman Marc A, Myers René P
University of Alabama at Birmingham School of Medicine, Birmingham, Ala.
Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham School of Medicine, Birmingham, Ala.
J Vasc Surg Cases Innov Tech. 2021 Jan 28;7(1):133-136. doi: 10.1016/j.jvscit.2020.12.015. eCollection 2021 Mar.
A pseudoaneurysm of the proximal right brachial artery is rare, with most caused by penetrating or blunt trauma. We report the case of a 41-day-old patient with a large iatrogenic pseudoaneurysm of the right brachial artery that had been induced by a puncture lesion during peripherally inserted central catheter placement for treatment of Lennox-Gastaut syndrome. The patient was successfully treated with a multidisciplinary approach, that consisted of direct excision of the pseudoaneurysm, followed by microvascular direct anastomosis. The patient was discharged with no complications, and complete exclusion of the pseudoaneurysm was confirmed at the 2-year follow-up examination.
右肱动脉近端假性动脉瘤较为罕见，多数由穿透性或钝性创伤引起。我们报告一例41日龄患者，其右肱动脉存在巨大医源性假性动脉瘤，该假性动脉瘤由在为治疗Lennox-Gastaut综合征而进行外周静脉穿刺中心静脉置管时的穿刺损伤所致。该患者通过多学科方法成功得到治疗，该方法包括直接切除假性动脉瘤，随后进行微血管直接吻合。患者出院时无并发症，在2年的随访检查中证实假性动脉瘤完全消失。
