Ulnar artery aneurysm: case report and review of the literature

Mazzacaro, Daniela and Malacrida, Giovanni and Stegher, Silvia and Occhiuto, Maria Teresa and Caldana, Marco and Tealdi, Domenico Giuseppe and Nano, Giovanni (2012) Ulnar artery aneurysm: case report and review of the literature. Il giornale di chirurgia, 33 (4). pp. 110-113. ISSN 1971-145X

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Aim. We report a case of ulnar and palmar arch artery aneurysm in a 77 years old man without history of any occupational or recreational trauma, vasculitis, infections or congenital anatomic abnormalities. We also performed a computed search of literature in PUBMED using the keywords “ulnar artery aneurysm” and “palmar arch aneurysm”. Case report. A 77 years old male patient was admitted to hospital with a pulsing mass at distal right ulnar artery and deep palmar arch; at ultrasound and CT examination a saccular aneurysm of 35 millimeters at right ulnar artery and a 15 millimeters dilatation at deep palmar arch were detected. He was asymptomatic for distal embolization and pain. In local anesthesia ulnar artery and deep palmar arch dilatations were resected. Reconstruction of vessels was performed through an end-to-end microvascular repair. Histological examination confirmed the absence of vasculitis and collagenopaties. In postoperative period there were no clinical signs of peripheral ischemia, Allen’s test and ultrasound examination were normal. At follow-up of six months, the patient was still asymptomatic with a normal Allen test, no signs of distal digital ischemia and patency of treated vessel with normal flow at duplex ultrasound. Conclusion. True spontaneous aneurysms of ulnar artery and palmar arch are rare and can be successfully treated with resection and microvascular reconstruction.

Item Type: Article
Uncontrolled Keywords: Ulnar artery aneurysms - Palmar arch aneurysms - Spontaneous true aneurysms
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 16 Jun 2016 10:08
Last Modified: 16 Jun 2016 10:08
URI: http://eprints.bice.rm.cnr.it/id/eprint/7895

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