Microsurgical management of a brachial artery pseudoaneurysm in a 41-day-old infant

Edgar Soto; Shivani Ananthasekar; Marc A Passman; René P Myers

doi:10.1016/j.jvscit.2020.12.015

Microsurgical management of a brachial artery pseudoaneurysm in a 41-day-old infant

J Vasc Surg Cases Innov Tech. 2021 Jan 28;7(1):133-136. doi: 10.1016/j.jvscit.2020.12.015. eCollection 2021 Mar.

Authors

Edgar Soto¹, Shivani Ananthasekar¹, Marc A Passman², René P Myers³

Affiliations

¹ University of Alabama at Birmingham School of Medicine, Birmingham, Ala.
² Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham School of Medicine, Birmingham, Ala.
³ Division of Plastic Surgery, University of Alabama at Birmingham School of Medicine, Birmingham, Ala.

Abstract

A pseudoaneurysm of the proximal right brachial artery is rare, with most caused by penetrating or blunt trauma. We report the case of a 41-day-old patient with a large iatrogenic pseudoaneurysm of the right brachial artery that had been induced by a puncture lesion during peripherally inserted central catheter placement for treatment of Lennox-Gastaut syndrome. The patient was successfully treated with a multidisciplinary approach, that consisted of direct excision of the pseudoaneurysm, followed by microvascular direct anastomosis. The patient was discharged with no complications, and complete exclusion of the pseudoaneurysm was confirmed at the 2-year follow-up examination.

Keywords: Anastomosis; Aneurysm; Brachial artery; False; Iatrogenic disease; Surgical.

Publication types

Case Reports