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Case Reports
. 2016 Oct 28:2016:bcr2016216429.
doi: 10.1136/bcr-2016-216429.

True brachial artery aneurysm in a child aged 2 years

Aamir Ghazanfar  1 , Afifa Asghar  1 , Naqeeb Ullah Khan  1 , Sidra Abdullah  1
Affiliations
Case Reports

True brachial artery aneurysm in a child aged 2 years

Aamir Ghazanfar et al. BMJ Case Rep. .

Abstract

Congenital brachial artery true aneurysms are exceedingly rare. Most are pseudoaneurysms secondary to trauma or infection. We report a boy aged 2 years who presented with painless, pulsatile swelling on the medial aspect of the right arm, 4 cm above the elbow joint that had been present since birth. Spiral CT angiography showed a fusiform aneurysm of the distal right brachial artery with a peripheral crescent-shaped thrombus. Distal arteries were normally opacified. There was no evidence of abnormal dilation or stenosis in any other artery. The aneurysm was surgically resected, with vascularisation re-established using a reversed great saphenous vein graft. His postoperative course was uneventful. Early surgery should be performed for moderately sized to large aneurysms that recently increased in size, exhibited luminal thrombus formation or caused neurovascular distal limb compromise. Early surgery could prevent complications such as a ruptured aneurysm, thromboembolism or limb ischaemia or loss.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
CT angiography showing balloon-like dilation of the distal end of the right brachial artery.
Figure 2
Figure 2
Operative view of fusiform aneurysm arising from the right brachial artery.
Figure 3
Figure 3
A reversed great saphenous vein graft interposed.
See this image and copyright information in PMC

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