Fann J I, Wyatt J, Frazier R L, Cahill J L
Department of Surgery, Stanford University Medical Center, CA.
J Pediatr Surg. 1994 Dec;29(12):1521-3. doi: 10.1016/0022-3468(94)90201-1.
The authors present the case of a 3-year-old boy who had transient ischemic symptoms secondary to thromboembolism from a left brachial artery aneurysm not associated with trauma or an autoimmune or connective tissue disorder. He underwent emergency resection of a brachial artery aneurysm and interposition grafting. Two months later he was found to have a right brachial artery aneurysm and underwent elective aneurysm resection and interposition grafting. He was well at the 3-year follow-up and had no other arterial aneurysms. The risk of limb threat or loss can be avoided by prompt diagnosis and early surgery. The authors advocate brachial artery aneurysm resection when it becomes technically feasible and/or when thrombus is present. Patients with upper extremity aneurysms should have continuous follow-up with serial examinations to detect concomitant or subsequent aneurysm formation.
作者报告了一例3岁男孩的病例，该男孩因左肱动脉瘤血栓栓塞继发短暂性缺血症状，此动脉瘤与创伤、自身免疫或结缔组织疾病无关。他接受了肱动脉瘤紧急切除术及血管移植术。两个月后，发现他患有右肱动脉瘤，并接受了择期动脉瘤切除术及血管移植术。在3年的随访中，他情况良好，未出现其他动脉瘤。通过及时诊断和早期手术可避免肢体受到威胁或丧失。作者主张在技术可行和/或存在血栓时进行肱动脉瘤切除术。上肢动脉瘤患者应进行连续随访及系列检查，以检测是否出现伴发或后续动脉瘤形成。
