Malt S
Arch Surg. 1978 Jun;113(6):762-3. doi: 10.1001/archsurg.1978.01370180104020.
A 56-year-old hypertensive man had bilateral arteriosclerotic aneurysms of the hand, the aneurysm on the right having recently enlarged. Since angiography showed the radial artery of the right arm to be the only blood supply to the hand, resection of the aneurysm and primary anastomosis of the radial artery were performed. The etiology of hand aneurysms and evaluation of arterial blood supply are key factors in therapeutic decisions, since arteriosclerotic aneurysms may lack sufficient collateral blood supply to allow ligation of the artery.
一名56岁的高血压男性患有双手双侧动脉硬化性动脉瘤，右侧的动脉瘤近期增大。由于血管造影显示右臂桡动脉是手部唯一的血液供应来源，遂进行了动脉瘤切除及桡动脉一期吻合术。手部动脉瘤的病因及动脉血供评估是治疗决策的关键因素，因为动脉硬化性动脉瘤可能缺乏足够的侧支血供以允许结扎动脉。
