True Brachial Artery Aneurysm Presenting as a Non-Pulsatile Mass

Authors

  • Anup Pradhananga Hubei University of Medicine, Taihe Hospital, Shiyan, China
  • Xie Chao Hubei University of Medicine, Taihe Hospital, Shiyan, China

DOI:

https://doi.org/10.31729/jnma.2992

Keywords:

Brachial artery aneurysm; Color Doppler Ultrasound ; True aneurysm; Ultrasound.

Abstract

Brachial artery aneurysms are rare disease that can be encountered.  It is divided into true and false. The frequency of true aneurysm of the brachial artery is so much unusual. So, we present a case of a 59 year old male who presented to us with complaint of mass in left upper limb since many years ago. Now, there was sudden onset of progressive pain with coldness, numbness, tingling sensationand blackish discolouration of skin from 8 hours. The left upper limb was pulseless and color Doppler ultrasound showed a non-pulsatile aneurysm at the mid level of left brachial artery associated with arterial occlusion in its distal branch by thrombus. The patient was successfully revascularised by interposing a saphenous vein graft.Thus,this case suggest that the prompt diagnosis of true brachial artery aneurysm by ultrasound or color Doppler ultrasound and the proper treatment by surgical repair can save limb from dangerous sequel

Keywords: brachial artery aneurysm; color doppler ultrasound; true aneurysm; ultrasound.

Author Biography

Xie Chao, Hubei University of Medicine, Taihe Hospital, Shiyan, China

Department of Radiodiagnosis(Ultrasound)

References

1. Gray RJ, Stone WM, Fowl RJ, Cherry KJ, Bower TC.Management of true aneurysms distal to the axillary artery.J Vasc Surg 1998; 28:606-10.
2. Tetik O, Ozcem B, Calli AO, Gurbuz A. True brachial artery aneurysm. Texas Heart Institute Journal.2010; 37:618-9.
3. Schunn CD, Sullivan TM. Brachial arteriomegaly and true aneurysmal degeneration: case report and literature review. Vasc Med 2002; 7:25-7.
4. Bahcivan M, Yuksel A. Idiopathic true brachial artery aneurysm in a nine month infant.Interact Cardiovasc Thorac Surg 2009;8:162-3.
5. Ghazi MA, Khan AM, Akram Y, Cheema MA. Brachial Artery Aneurysm. JMAJ.2006 Apr; 49(4):173-175.
6. M. Bassir, A. Fakhree, Azhough R, Quran FH. A Case of True Brachial Artery Aneurysm in an Elderly Male. Journal of Cardiovascular and Thoracic Research.2012; 4(1):25-27.
7. Kouvelos GN, Papas NK, Arnaoutoglou EM, Papadopoulos GS,Matsagkas MI.Endovascular repair of profunda femoral artery false aneurysms using covered stents.Vascular.2011;19(1):51-4.
8. Yetkin U, Gurbuz A. Post-traumatic pseudoaneurysm of the brachial artery and its surgical treatment. Texas Heart Institute Journal.2003; 30(4):293.
9. Heydari F, Taheri M, Esmailian M. Brachial artery aneurysm as a limb threatening condition; a case report. Emergency.2015; 3(2):75-7.

Downloads

Published

2017-03-31

How to Cite

Pradhananga, A., & Chao, X. (2017). True Brachial Artery Aneurysm Presenting as a Non-Pulsatile Mass. Journal of Nepal Medical Association, 56(205), 179–181. https://doi.org/10.31729/jnma.2992

Issue

Section

Case Reports