Aneurysms in the arteries of the upper extremity in a Kenyan population

Snuff box radial artery aneurysm: A case report and literature review

INTRODUCTION AND IMPORTANCE

Distal radial artery aneurysms in the anatomical snuff box are rare.

CASE PRESENTATION

Herein, we present the case of a snuff box radial artery aneurysm in a female patient with a possible history of trauma and discuss the evaluation and management of snuff box radial artery aneurysms. The aneurysm in this case was resected without reconstruction because of a normal preoperative Allen test finding and intraoperative evidence of adequate hand perfusion after the aneurysm was excised. The patient subsequently recovered with proper hand function.

CLINICAL DISCUSSION

Radial artery aneurysms cases are rare; literature search by us and others have identified only 20 cases. For the detection and management of aneurysm, several high-end techniques may be employed; however, in this case, we employed non-invasive ultrasound method. The method is non-invasive and accurately delineates and localises an aneurysm, differentiates true arterial aneurysms from pseudoaneurysms, and identifies the presence of a mural thrombus. Further, the ultrasound assessments also help surgeons on requirement of radial artery reconstruction.

CONCLUSION

In this case report, an anatomical snuff box radial artery aneurysm was surgically excised without reconstruction. Physical examination and Doppler ultrasound findings were employed to assess the medical condition of the patient; patient's proper hand function was restored.

True Brachial Aneurysm in an Older Female Patient. A Case Report and Review of Literature

INTRODUCTION

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.

CASE REPORT

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.

Atraumatic Left Distal Radial Artery Aneurysm

Distal radial artery aneurysms are an uncommon pathological entity in the field of surgery. Moreover, distal radial artery aneurysms of idiopathic etiology are even rarer. Herein, we present a rare case of idiopathic/atraumatic left radial artery aneurysm. A 73-year-old female patient presented with a chief complaint of a pulsatile mass located on her left wrist. Radiological imaging showed the presence of a distal radial artery aneurysm which was successfully surgically excised with subsequent ligation of the radial artery. Some of the etiologies and operative management of distal radial artery aneurysm in the anatomical snuffbox to what is in accordance with the literature are discussed. Distal radial artery aneurysms are rare. Hence, their misdiagnosis may lead to wrongful management and increase in morbidity. The appropriate management of distal radial aneurysm is almost always surgical.

Radial artery aneurysm in the anatomical snuff box: A case report and literature review

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Distal radial artery aneurysms of the hand are rare.

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An aneurysm should be considered in the differential diagnosis of a mass in the hand.

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Surgical excision is the standard treatment of choice for upper extremity aneurysms.

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Decisions regarding revascularization should be made based on a blood flow evaluation.

Introduction

Distal radial artery aneurysms of the hand are rare. We herein report a rare case of radial artery aneurysm in the anatomical snuff box.

Presentation of case

A 61-year-old woman presented with a chief complaint of a mass on the back of her left hand. A radiological examination showed a distal radial artery aneurysm. The patient underwent successful surgical excision of the aneurysm with radial artery ligation.

Discussion

We discuss the etiologies and surgical management of radial artery aneurysms in the anatomical snuff box according to the published literature.

Conclusion

An accurate diagnosis and a preoperative blood flow evaluation are necessary for appropriate surgical management of radial artery aneurysms.

True idiopathic saccular aneurysm of the radial artery

True aneurysms of hand arteries are rare. I present a case of a true saccular aneurysm of the distal radial artery in a 65-year-old woman with no history of trauma. The CT angiography, intraoperative features, operative procedure, histopathological examination and literature review are presented and discussed.

True posttraumatic radial artery aneurysm

Radial artery aneurysms are rare and mostly secondary to traumatic events (posttraumatic pseudoaneurysms). Radial artery aneurysms should be treated due to the high risk of embolization, thrombosis, and compression of adjacent nerves. The authors describe a case of a 49-year-old patient complaining of a progressively growing tumor in the left wrist after a dog bite. The tumor proved to be a true posttraumatic aneurysm. Treatment consisted of removal of the aneurysm sac and ligation of the radial artery.

Forearm and hand arteries’ aneurysms – a case report of bilateral true ulnar artery aneurysm in the hypothenar eminence and systematic review of the literature

Arterial aneurysms in the forearm, wrist and hand are relatively uncommon. Penetrating injuries, arterial traumas, infections and repetitive microtraumas represent the most frequent cause of these secondary aneurysms or pseudo-aneurysms, while true nontraumaticor infective peripheral aneurysms of the upper extremities are very rarely encountered. Over the last 20 years these have been reported only sporadically, both in adults and children. We describe a case of bilateral true idiopathic saccular artery aneurysms in the hypothenar eminence, treated with excision and arterial continuity restoration by primary end-to-end anastomosis on the left side and conservatively on the right. To our knowledge, no other similar case has been documented to date. Starting from this original case we conducted a systematic review of the literature via PubMed search on peripheral aneurysms of the forearm and hand arteries from 1933 to the present, including specifically true distal ulnar and radial artery aneurysms. Etiology, clinical characteristics and management of these rare pathological entities are extensively discussed.