Bautista-Sánchez Juan, Cuipal-Alcalde Juan D, Bellido-Yarlequé David, Rosadio-Portilla Luz, Gil-Cusirramos Martin
Vascular Surgery Unit, Guillermo Almenara Irigoyen National Hospital, Lima, Peru.
Ann Vasc Surg. 2022 Jan;78:378.e1-378.e8. doi: 10.1016/j.avsg.2021.05.059. Epub 2021 Aug 26.
Brachial artery aneurysms constitute 0.5% of peripheral aneurysms. These can be true or secondary to trauma or arteriovenous fistulas. These present as an asymptomatic pulsatile mass or may cause symptoms due to compression of adjacent neurological structures.
We present a review of the literature on clinical, histological, and therapeutic characteristics of true brachial aneurysms, motivated by the case of a 67-year-old woman with an asymptomatic pulsatile mass dependent on the brachial artery of the left arm who underwent open surgical correction with resection of the aneurysmal sac and interposition of great saphenous vein graft with adequate postoperative results.
肱动脉瘤占周围动脉瘤的0.5%。这些动脉瘤可以是真性的，也可以是继发于创伤或动静脉瘘。它们表现为无症状的搏动性肿块，或者可能因压迫相邻神经结构而引起症状。
我们对真性肱动脉瘤的临床、组织学和治疗特征的文献进行了综述，这是受一名67岁女性病例的启发，该女性有一个依赖于左臂肱动脉的无症状搏动性肿块，她接受了开放性手术矫正，切除动脉瘤囊并置入大隐静脉移植物，术后效果良好。
