Pseudoaneurysm of the Radial Artery After a Bicycle Fall

Vasc Endovascular Surg. 2018 Jul;52(5):395-397. doi: 10.1177/1538574418764058. Epub 2018 Mar 19.

Abstract

We report a case of a 64-year-old man who developed a painful pulsatile mass in the distal forearm after a bicycle fall with fracture of the wrist. Ultrasonography confirmed a 2.5-cm large pseudoaneurysm of the radial artery. The patient underwent surgical exploration. The pseudoaneurysm was resected and the defect in the arterial wall was reconstructed with an autologous saphenous vein patch. We suggest that the double arterial supply of the hand should be preserved whenever possible.

Keywords: hand trauma; pseudoaneurysm; radial artery.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls*
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / physiopathology
  • Aneurysm, False / surgery
  • Bicycling / injuries*
  • Hand Injuries / diagnostic imaging
  • Hand Injuries / etiology*
  • Hand Injuries / physiopathology
  • Hand Injuries / surgery
  • Humans
  • Male
  • Middle Aged
  • Radial Artery / diagnostic imaging
  • Radial Artery / injuries*
  • Radial Artery / physiopathology
  • Radial Artery / surgery
  • Saphenous Vein / transplantation
  • Transplantation, Autologous
  • Treatment Outcome
  • Vascular Grafting / methods
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology*
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / surgery