Neurovascular compromise due to true brachial artery aneurysm at the site of a previously ligated arteriovenous fistula: Case report and review of literature

Vascular. 2015 Dec;23(6):668-72. doi: 10.1177/1708538114568480. Epub 2015 Jan 22.

Abstract

True arterial aneurysms of the upper extremity are rare. The case described is that of a 48-year-old man presenting with median neuropathy and distal vascular compromise 4 years after ligation of a brachiocephalic arteriovenous fistula. We describe our approach and present a review of the relevant literature.

Keywords: Arteriovenous fistula; brachial artery aneurysm; median neuropathy; open repair.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm / diagnosis
  • Aneurysm / etiology*
  • Aneurysm / physiopathology
  • Aneurysm / surgery
  • Arteriovenous Shunt, Surgical / adverse effects*
  • Brachial Artery / physiopathology
  • Brachial Artery / surgery*
  • Decompression, Surgical / methods
  • Humans
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / therapy*
  • Ligation
  • Male
  • Median Neuropathy / diagnosis
  • Median Neuropathy / etiology*
  • Median Neuropathy / physiopathology
  • Median Neuropathy / surgery
  • Middle Aged
  • Nerve Compression Syndromes / diagnosis
  • Nerve Compression Syndromes / etiology*
  • Nerve Compression Syndromes / physiopathology
  • Nerve Compression Syndromes / surgery
  • Regional Blood Flow
  • Renal Dialysis*
  • Reoperation
  • Risk Factors
  • Time Factors
  • Treatment Outcome
  • Veins / transplantation