Goru Rohit K, Shah Rakesh, Cardozo Shaun
Internal Medicine, Wayne State University School of Medicine, Detroit, USA.
Internal Medicine, Detroit Medical Center, Wayne State University, Detroit, USA.
Cureus. 2025 May 31;17(5):e85148. doi: 10.7759/cureus.85148. eCollection 2025 May.
Radial artery aneurysms are rare and are usually secondary to either blunt or penetrating traumatic etiology, such as catheterizations via radial artery access, bone fractures, or occupational injuries. Besides trauma, radial artery aneurysms may be related to idiopathic, infectious (mycotic), atherosclerotic etiology, or connective tissue diseases such as Marfan syndrome. However, bilateral radial artery aneurysms are extremely rare. A 61-year-old male developed pulsatile masses on both wrists following syncopal episodes that led to falls. Imaging confirmed bilateral radial artery aneurysms. The patient underwent surgical resection of both aneurysms - first on the right wrist, followed by the left after cellulitis resolution. Her postoperative course was uneventful. Histopathological examination showed findings suggestive of the true aneurysm. This rare case underscores the importance of early diagnosis and surgical intervention for bilateral radial artery aneurysms, particularly following trauma.
桡动脉动脉瘤较为罕见，通常继发于钝性或穿透性创伤病因，如经桡动脉途径进行的导管插入术、骨折或职业损伤。除创伤外，桡动脉动脉瘤可能与特发性、感染性（霉菌性）、动脉粥样硬化病因或结缔组织疾病如马凡综合征有关。然而，双侧桡动脉动脉瘤极为罕见。一名61岁男性在晕厥发作导致跌倒后，双腕出现搏动性肿块。影像学检查证实为双侧桡动脉动脉瘤。患者接受了双侧动脉瘤的手术切除——先切除右手腕的动脉瘤，在蜂窝织炎消退后切除左手的动脉瘤。术后过程顺利。组织病理学检查结果提示为真性动脉瘤。这个罕见病例强调了双侧桡动脉动脉瘤早期诊断和手术干预的重要性，尤其是在创伤后。
