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Case Reports
. 2021 Mar 29;2021(3):rjab056.
doi: 10.1093/jscr/rjab056. eCollection 2021 Mar.

Primary brachial artery aneurysm with associated basilic vein aneurysm

Khaleel A Hamdulay  1 , Peter E Laws  1 , Carmen M Ruiz  2
Affiliations
Case Reports

Primary brachial artery aneurysm with associated basilic vein aneurysm

Khaleel A Hamdulay et al. J Surg Case Rep. .

Abstract

There are but a handful of reported brachial artery aneurysms, the majority of which are pseudoaneurysms or false aneurysms caused by trauma or fistula creation. True or primary brachial artery aneurysms are even more rare, and if they occur, they often do so in isolation. In this case report, we discuss the interesting finding of a large primary brachial aneurysm together with an adjacent aneurysmal basilic vein identified intra-operatively. This presentation was 21 years after the renal transplant and ligation of an arteriovenous fistula in that same arm. It is noteworthy that the fistula was in the forearm and far away from the site of the untouched brachial area.

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Figures

Figure 1
Figure 1
CTA imaging of brachial artery aneurysm of the left arm; BA, brachial aneurysm; BV, basilic vein; C, contrast through aneurysm lumen; H, humerus.
Figure 2
Figure 2
Distal operative site; the aneurysm is identified with branching vessels controlled with slings; BA, brachial aneurysm; R, radial artery controlled; U, ulnar artery controlled; I, interosseus controlled.
Figure 3
Figure 3
Proximal operative site; the aneurysmal proximal end of the brachial artery is seen (BA) and looped for control; BV, aneurysmal-associated basilic vein is seen and can be appreciated.
Figure 4
Figure 4
Thrombus resected from the aneurysm sac once opened.
Figure 5
Figure 5
PTFE graft fashioned end-to-end as aneurysm replacement; G, graft made of PTFE; P, proximal end; D, distal end; S, surgicel applied to either end, intra-op for haemostasis.
See this image and copyright information in PMC

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