Delayed Presentation of a Brachial Artery Pseudoaneurysm After a Supracondylar Humerus Fracture in a 6-year-old Boy: A Case Report

2010 ◽  
Vol 30 (1) ◽  
pp. 57-59 ◽  
Author(s):  
Christopher Got ◽  
Tze-Woei Tan ◽  
Nikhil Thakur ◽  
Edward J. Marcaccio ◽  
Craig Eberson ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Artery ◽  
Humerus Fracture ◽  
Delayed Presentation ◽  
Supracondylar Humerus Fracture ◽  
Artery Pseudoaneurysm

Brachial Artery Pseudoaneurysm After Supracondylar Humerus Fracture

2020 ◽  
Vol 10 (1) ◽  
pp. e0218-e0218
Author(s):  
Sarah C. Tepper ◽  
Caleb P. Gottlich ◽  
Isam W. Nasr ◽  
Paul D. Sponseller
Keyword(s):  
Brachial Artery ◽  
Humerus Fracture ◽  
Supracondylar Humerus Fracture ◽  
Artery Pseudoaneurysm

scholarly journals A Rare Case of Pseudoaneurysm of the Brachial Artery in Supracondylar Humerus Fracture

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Shrihari L Kulkarni ◽  
Manjunath S Daragad ◽  
Sunil Mannual ◽  
Yashwanth Krishna
Keyword(s):  
Brachial Artery ◽  
Rare Case ◽  
Saphenous Vein Graft ◽  
Vascular Complications ◽  
Humerus Fracture ◽  
Type I ◽  
Supracondylar Humerus Fracture ◽  
Fractures In Children ◽  
Pulsatile Mass ◽  
Supracondylar Humerus Fractures

Introduction: Supracondylar humerus fractures are very common fractures in children. About 10–14% are associated with vascular complications. We report a rare case of pseudoaneurysm of the brachial artery which was promptly detected in a well-perfused hand nearly 2 weeks after reduction and fixation. Case Report: A 10-year-old girl with Type I open supracondylar fracture of the left humerus (Modified Gartland Type 2) presented 2 weeks post-fixation with pulsatile mass in the elbow. Imaging revealed a pseudoaneurysm of brachial artery which was managed by excision and reconstruction using great saphenous vein graft. The fracture united uneventfully and the child made a full return to pre-fracture level of activity. Conclusion: The case highlights the occurrence of pseudoaneurysm of brachial artery, a rare complication seen few days or weeks after the injury, which coincides with the post-operative period in children managed by surgical fixation. This emphasizes the need for periodic monitoring of the neurovascular status of the children even after successful reduction and fixation. Keywords: Supracondylar humerus fracture, vascular complication, pseudoaneurysm.

Poster 127 Brachial Artery Pseudoaneurysm Contributing to Nerve Symptoms in the Hand: A Case Report

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S233-S233
Author(s):  
Lisa M. Maddox ◽  
John N. Aseff ◽  
Robert D. Bunning ◽  
Victor Ibrahim
Keyword(s):  
Case Report ◽  
Brachial Artery ◽  
Artery Pseudoaneurysm

scholarly journals Acute Upper Limb Ischemia Due to Delayed Presentation of a Brachial Artery Pseudoaneurysm Post-Venipuncture

2019 ◽  
Vol 54 (1) ◽  
pp. 80-84 ◽  
Author(s):  
Adele H. H. Lee ◽  
Sara D. Qi ◽  
Nathaniel Chiang
Keyword(s):  
Median Nerve ◽  
Upper Limb ◽  
Brachial Artery ◽  
Limb Ischemia ◽  
High Morbidity ◽  
Delayed Presentation ◽  
Artery Pseudoaneurysm ◽  
Hand Ischemia ◽  
Iatrogenic Trauma ◽  
Median Nerve Neuropathy

Brachial artery pseudoaneurysms (BAPs) are rare but could lead to complications of high morbidity. We report a case of a BAP presenting with hand ischemia and median nerve neuropathy nearly a decade after the inciting iatrogenic trauma, successfully treated with excision and direct repair. This report highlights that untreated pseudoaneurysms can be indolent and present late with both symptoms of embolization and local compression.

scholarly journals Flail upper limb due to delayed presentation of a traumatic brachial artery pseudoaneurysm

2013 ◽  
Vol 2013 (jan09 1) ◽  
pp. bcr2012007706-bcr2012007706 ◽  
Author(s):  
J. Kaczynski ◽  
M. Wilczynska ◽  
L. Fligelstone
Keyword(s):  
Upper Limb ◽  
Brachial Artery ◽  
Delayed Presentation ◽  
Artery Pseudoaneurysm

Pediatric brachial artery injury due to supracondylar humerus fractures: A case series

Vascular ◽  
2019 ◽  
Vol 27 (4) ◽  
pp. 451-453 ◽  
Author(s):  
Courtney Grant ◽  
Mark Theiss ◽  
Dipankar Mukherjee
Keyword(s):  
Brachial Artery ◽  
Case Series ◽  
Duplex Ultrasound ◽  
Humerus Fracture ◽  
Close Monitoring ◽  
Supracondylar Humerus Fracture ◽  
Surgical Exploration ◽  
Artery Injury ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

Objectives Two to 20% of pediatric supracondylar humerus fractures present with abnormal vascular examinations ranging from ischemic hands to perfused pulseless hands. Management of perfused pulseless hands with observation or surgical exploration remains debatable. We report management and outcomes of five cases at our institution. Methods Charts of patients <18 years old with supracondylar humerus fractures undergoing brachial artery exploration from 2009 to 2016 were reviewed. Results Five patients presented with supracondylar humerus fracture after falls. Closed reduction and percutaneous pinning resulted in five pink hands, one with a palpable pulse and one with return of radial Doppler signal. Two were admitted for observation and one underwent immediate brachial artery exploration. The four cases initially managed non-operatively underwent exploration. Intraoperative findings included three brachial artery entrapments, one arterial compression due to hematoma, and one complete arterial transection requiring thrombectomy and venous interposition graft. At follow-up, all patients had palpable radial pulses. Conclusions Perfused pulseless hands after supracondylar humerus fracture reduction require close monitoring. Cases without return of radial Doppler signals should undergo immediate brachial exploration. We recommend duplex ultrasound for the diagnosis of brachial artery injury as an early guide to surgical exploration to prevent treatment delay and arm or hand ischemia.

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