A True Distal Brachial Artery Aneurysm Treated with a Bifurcated Saphenous Vein Graft

2016 ◽  
Vol 31 ◽  
pp. 207.e9-207.e11 ◽  
Author(s):  
Melek Ben Mrad ◽  
Chaouki Neifer ◽  
Faker Ghedira ◽  
Nesrine Ghorbel ◽  
Raouf Denguir ◽  
...  
2021 ◽  
Vol 14 (5) ◽  
pp. e240729
Author(s):  
Justin Hart ◽  
Raymond Hajjar ◽  
Eugene Laveroni

The patient is a 50-year-old male with a history of tobacco use presented for evaluation of pulsatile right-hand mass. The patient was employed as a barber but had no known history of trauma or injury. He was diagnosed with hypothenar hammer syndrome and underwent excision of ulnar artery aneurysm with reconstruction of ulnar artery with interposition saphenous vein graft. The presented case describes an uncommon presentation of hypothenar hammer syndrome in a patient without history of repetitive blunt trauma or injury and discusses the diagnosis, pathophysiology and treatment options for symptomatic ulnar artery aneurysm.


Author(s):  
Lilija Banceviča ◽  
Dzintra Kažoka ◽  
Aleksandrs Maļcevs ◽  
Māra Pilmane

Patients with chronic renal failure and vascular diseases require the vascular access for hemodialysis procedure to be performed with the most possible comfort for the patient. Native vein graft has a longer-lasting term in the patients’ limb, lower risk of graft infection and lower price. Native vein graft is constructed from the great saphenous vein, if the diameter of the vessel is smaller than the diameters of vessels (brachial artery, cephalic vein) it is connected to in the cubital fossa region due to the risk of graft folding, that might occur, if the graft diameter is bigger than the diameter of one or both vessels, on which anastomosis is made. The most important sizes, that were taken before graft placement, are the length of the forearm compartment, the distance between the brachial artery and cephalic vein in the cubital fossa region, distance from an expected incision in the brachial artery to the middle of the forearm compartment, the distance between incision in cephalic vein to the middle of the forearm compartment, length of the great saphenous vein (the graft) and diameters of blood vessels, used in the procedure. Finally, the right position of the graft should be determined for the successful outcome of anastomosis creating procedure.


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