Axillary artery aneurysm associated with Arteriovenous malformations of the upper extremity: A case report.
Int J Surg Case Rep 2021;
81:105738. [PMID:
33774443 PMCID:
PMC8039558 DOI:
10.1016/j.ijscr.2021.105738]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 03/07/2021] [Accepted: 03/09/2021] [Indexed: 11/20/2022] Open
Abstract
Axillary artery aneurysms are an uncommon upper extremity pathology and Arteriovenous malformations (AVMs) are a rare cause.
We present a case of congenital high-flow AVMs in the upper limb who presented with an asymptomatic axillary artery aneurysm.
Our patient was asymptomatic, but surgery was indicated because of the size of the aneurysm.
We used a vein graft instead of a synthetic graft because the aneurysm was located close to the shoulder joint.
Introduction and importance
Axillary artery aneurysms are an uncommon upper extremity pathology. While trauma is the most common cause, degenerative aneurysms may occur in high-flow vascular conditions, such as upper extremity arteriovenous fistulas. Arteriovenous malformations (AVMs) are a rare cause.
Case presentation and discussion
We herein describe a 41-year-old male with multiple congenital high-flow AVMs in the left upper extremity who presented with an asymptomatic axillary artery aneurysm. The aneurysm was successfully treated with open resection and revascularization using a reversed basilic vein interposition graft.
Conclusion
Clinicians should be aware of the possibility of an axillary artery aneurysm in patients with upper extremity AVMs.
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