scholarly journals True aneurysm of common digital artery: Case report

2008 ◽  
Vol 136 (5-6) ◽  
pp. 289-291
Author(s):  
Dragoslav Nenezic ◽  
Predrag Matic ◽  
Nenad Ilijevski ◽  
Petar Popov ◽  
Predrag Gajin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Penetrating Trauma ◽  
Clinical Importance ◽  
Artery Aneurysm ◽  
Multislice Ct ◽  
Common Symptom ◽  
Digital Artery ◽  
True Aneurysm ◽  
Pulsatile Mass ◽  
The Common

INTRODUCTION Aneurysms of digital arteries are considered to be rarity. They could be true or false. False aneurysms are usually the result of penetrating trauma, while the causes of development of true aneurysms are various, such as blunt trauma, and rarely atherosclerosis, vasculitis and infection. Also, they can be idiopathic. Reviewing the literature we found 13 cases of previously described true aneurysms of digital arteries. None of them referred to the common digital artery aneurysm. CASE OUTLINE We report a case of an idiopathic true aneurysm of the common digital artery, with its clinical presentation and a corresponding multislice CT arteriogram. Surgical treatment by ligation and excision of the aneurysm was performed. CONCLUSION As mentioned above, true aneurysms of digital arteries are very rare, so they are of little clinical importance. The most common symptom of digital artery aneurysms is pain, with a tender pulsatile mass on examination. Since natural healing cannot be expected, surgical treatment of true digital artery aneurysms is recommended for pain relief and avoidance of complications which may occur and are related to the aneurysm presence. Aneurysm resection and ligation of a blood vessel can be performed. Also, artery reconstruction can be performed by primary end-to-end anastomosis or the placement of a reversed interposition vein graft.

scholarly journals True aneurysm of the digital artery: a case report and systematic literature review

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Zara Sheikh ◽  
Sadasivam Selvakumar ◽  
Patrick Goon
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Artery Aneurysm ◽  
The Body ◽  
Digital Artery ◽  
True Aneurysm ◽  
Rare Presentation ◽  
Important Differential Diagnosis ◽  
The Common ◽  
Successful Repair

Abstract Aneurysmal disease can occur in any vessel in the body and occur most commonly the aorta, cerebral and popliteal arteries; however, aneurysms of the digital artery remain a rare presentation. They form an important differential diagnosis in any patient presenting with a mass in the hand. This report presents the case of a 64-year-old man with a true aneurysm of the common palmar digital artery who underwent successful repair, following excision and end to end anastomosis. Only 21 cases of true digital artery aneurysm have been reported; we review the literature pertaining to the diagnosis and management of digital artery aneurysms since they were first described by Baruch et al in 1977.

scholarly journals Aneurysm of Upper Limb Arteries in Children: Report of Five Cases

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ildar Nurmeev ◽  
Dmitry Osipov ◽  
Bruce Okoye
Keyword(s):  
Surgical Treatment ◽  
Upper Limb ◽  
Case Series ◽  
Artery Aneurysm ◽  
Ptfe Graft ◽  
Arterial Aneurysm ◽  
True Aneurysm ◽  
Specialized Hospital ◽  
History Of ◽  
Connective Tissue Dysplasia

Background. Arterial aneurysm in children is rare. Aim. To present the description of case series of successful surgical treatment of upper limb aneurysms in children. The case series included 2 boys and 3 girls, with median age 3.3 years. One of them was a newborn with a true brachial artery aneurysm. Aneurysms were in the brachial (n = 3) and radial (n = 2) arteries. Two patients had idiopathic aneurysms. Two cases were associated with connective tissue dysplasia syndrome. One patient had a history of trauma. In 4 of 5 cases, there was a true aneurysm and in one a pseudoaneurysm. Diagnosis was carried out in all cases by using ultrasound, with arteriography in one case. All 5 children were operated on. Resection of the aneurysm and restoration of arterial patency was performed in 4 of 5 cases (ligation of the radial artery near the aneurysm in 1 case, aneurysm resection with end-to-end anastomosis in 1 case, resection with PTFE graft implantation in 1 case, and resection with implantation of an autovenous graft in 2 cases. Complications. Dysfunction and thrombosis of the PTFE graft required reoperation using an autovenous graft. Conclusion. Despite the rarity of the disease, timely and adequate surgical treatment of aneurysms of the arteries of the upper extremities in children is possible successfully in a specialized hospital.

scholarly journals True Brachial Artery Aneurysm Presenting as a Non-Pulsatile Mass

2017 ◽  
Vol 56 (205) ◽  
pp. 179-181
Author(s):  
Anup Pradhananga ◽  
Xie Chao
Keyword(s):  
Doppler Ultrasound ◽  
Upper Limb ◽  
Brachial Artery ◽  
Color Doppler ◽  
Arterial Occlusion ◽  
Artery Aneurysm ◽  
Color Doppler Ultrasound ◽  
Sudden Onset ◽  
True Aneurysm ◽  
Pulsatile Mass

Brachial artery aneurysms are rare disease that can be encountered.  It is divided into true and false. The frequency of true aneurysm of the brachial artery is so much unusual. So, we present a case of a 59 year old male who presented to us with complaint of mass in left upper limb since many years ago. Now, there was sudden onset of progressive pain with coldness, numbness, tingling sensationand blackish discolouration of skin from 8 hours. The left upper limb was pulseless and color Doppler ultrasound showed a non-pulsatile aneurysm at the mid level of left brachial artery associated with arterial occlusion in its distal branch by thrombus. The patient was successfully revascularised by interposing a saphenous vein graft.Thus,this case suggest that the prompt diagnosis of true brachial artery aneurysm by ultrasound or color Doppler ultrasound and the proper treatment by surgical repair can save limb from dangerous sequel Keywords: brachial artery aneurysm; color doppler ultrasound; true aneurysm; ultrasound.

Experience of surgical treatment of false popliteal artery aneurysm and tibioperoneal stem. Clinical case

2019 ◽  
Vol 17 (6 (part 2)) ◽  
pp. 84-85
Author(s):  
M. V. Plotnikov ◽  
◽  
E. A. Gaysina ◽  
R. M. Nuretdinov ◽  
L. M. Muhametdinova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Popliteal Artery ◽  
Clinical Case ◽  
Artery Aneurysm ◽  
Popliteal Artery Aneurysm

False aneurysm of the common digital artery. Is reconstruction with an arterial graft worth the efforts? A case report

Microsurgery ◽  
2011 ◽  
Vol 31 (3) ◽  
pp. 246-250 ◽  
Author(s):  
Stefano Lucchina ◽  
Alexandru Nistor ◽  
Hans Stricker ◽  
Cesare Fusetti
Keyword(s):  
Case Report ◽  
False Aneurysm ◽  
Arterial Graft ◽  
Digital Artery ◽  
The Common

Markers of steroid resistance of the primary nephrotic syndrome in children

2021 ◽  
Vol 19 (1) ◽  
pp. 15-21
Author(s):  
S. L. Morozov ◽  
◽  
V. V. Dlin ◽  
Keyword(s):  
Nephrotic Syndrome ◽  
Steroid Therapy ◽  
Molecular Genetic ◽  
Clinical Importance ◽  
Recent Decade ◽  
Immunosuppressive Drugs ◽  
Steroid Resistance ◽  
Primary Nephrotic Syndrome ◽  
Non Invasive ◽  
The Common

The global task of the recent decade is to search for clinical and laboratory markers accurately showing a patient’s reaction to steroid therapy and other immunosuppressive drugs. It is important the applied methods and tests to be non-invasive and simple to use. The article considers various biomarkers used to verify the type of nephrotic syndrome depending on the sensitivity to steroid therapy. Besides the common markers, which are used in clinical practice or have shown a significant result, the work highlights the molecular- genetic markers of resistance to steroid therapy, which are of special clinical importance today. Also, the article presents authors’ own results in diagnosing the steroid resistance of the primary nephrotic syndrome.

scholarly journals Nodes, paranodes and neuropathies

2017 ◽  
Vol 89 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Janev Fehmi ◽  
Steven S Scherer ◽  
Hugh J Willison ◽  
Simon Rinaldi
Keyword(s):  
Peripheral Nerves ◽  
Clinical Importance ◽  
Specific Cell ◽  
Peripheral Neuropathies ◽  
Autoimmune Neuropathy ◽  
Basic Understanding ◽  
Clinical Variants ◽  
Inflammatory Neuropathies ◽  
The Common ◽  
Treatment Responsiveness

This review summarises recent evidence supporting the involvement of the specialised nodal and perinodal domains (the paranode and juxtaparanode) of myelinated axons in the pathology of acquired, inflammatory, peripheral neuropathies.The identification of new target antigens in the inflammatory neuropathies heralds a revolution in diagnosis, and has already begun to inform increasingly targeted and individualised therapies. Rapid progress in our basic understanding of the highly specialised nodal regions of peripheral nerves serves to strengthen the links between their unique microstructural identities, functions and pathologies. In this context, the detection of autoantibodies directed against nodal and perinodal targets is likely to be of increasing clinical importance. Antiganglioside antibodies have long been used in clinical practice as diagnostic serum biomarkers, and associate with specific clinical variants but not to the common forms of either acute or chronic demyelinating autoimmune neuropathy. It is now apparent that antibodies directed against several region-specific cell adhesion molecules, including neurofascin, contactin and contactin-associated protein, can be linked to phenotypically distinct peripheral neuropathies. Importantly, the immunological characteristics of these antibodies facilitate the prediction of treatment responsiveness.

scholarly journals Acute right upper extremity ischemia resulting from true aneurysmof right brachial artery: A case report

2020 ◽  
Vol 12 (4) ◽  
pp. 337-340
Author(s):  
Niki Tadayon ◽  
Sina Zarrintan ◽  
Seyed Mohammad Reza Kalantar-Motamedi
Keyword(s):  
Case Report ◽  
Upper Extremity ◽  
Ct Angiography ◽  
Brachial Artery ◽  
Artery Aneurysm ◽  
True Aneurysm ◽  
Postoperative Course ◽  
Run Off ◽  
The Right ◽  
Extremity Ischemia

We report a case of 66-year-old woman with true aneurysm of the right brachial artery. She presented with acute upper extremity ischemia. The hand was cold and parenthesized and distal pulses were absent. CT angiography (CTA) revealed a 20*25 mm true brachial artery aneurysm. The aneurysm was thrombosed without distal run-off. We excised the aneurysm and reestablished the arterial flow by a reverse saphenous interposition graft. The postoperative course was uneventful.

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