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Case Reports
. 2013 Jul;17(1):190-2.
doi: 10.1093/icvts/ivt121. Epub 2013 Mar 25.

Recurrent upper limb ischaemia due to a crutch-induced brachial artery aneurysm

Kouji Furukawa  1 , Takahiro Hayase, Mitsuhiro Yano
Affiliations
Case Reports

Recurrent upper limb ischaemia due to a crutch-induced brachial artery aneurysm

Kouji Furukawa et al. Interact Cardiovasc Thorac Surg. 2013 Jul.

Abstract

An 83-year old man who had used bilateral axillary crutches for 67 years was referred to our hospital for acute left upper limb ischaemia. He underwent successful recanalization through emergent catheter thromboembolectomy. However, a crutch-induced left brachial artery aneurysm was subsequently detected by computed tomography. Therefore, we performed aneurysm exclusion and subsequent saphenous vein bypass grafting. When a crutch user presents with upper limb ischaemia, a high index of suspicion and early identification of the crutch induced vascular injury are mandatory for appropriate treatment.

Keywords: Brachial artery aneurysm; Crutch-induced vascular injury; Upper limb ischaemia.

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Figures

Figure 1:
Figure 1:
(A and B) CT. A left brachial artery aneurysm with intraluminal thrombus was detected (white arrow).
Figure 2:
Figure 2:
(A and B) CT. The aneurysm had completely clotted (white arrow) and the graft was patent (arrow).
See this image and copyright information in PMC

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