Spontaneous axillary artery aneurysm: a case report and review of the literature

Degenerative arterial aneurysms can occur in any vascular territory. However, they are exceedingly rare in the axillary artery. Complications of axillary artery aneurysms may result in acute vascular insufficiency and neurological deficits. Prompt treatment should be employed in the management of this condition. We report a case of an atraumatic degenerative axillary artery aneurysm that was treated with transaxillary open surgical bypass.

Download Full-text

Endovascular management of spontaneous axillary artery aneurysm: a case report and review of the literature

Journal of Medical Case Reports ◽

10.1186/1752-1947-7-140 ◽

2013 ◽

Vol 7 (1) ◽

Cited By ~ 7

Author(s):

Changsheng He ◽

Xingjiang Wu ◽

Jianmin Cao ◽

Xinxin Fan ◽

Kai Liu ◽

...

Keyword(s):

Case Report ◽

Axillary Artery ◽

Artery Aneurysm ◽

Endovascular Management ◽

Review Of The Literature

Download Full-text

Ruptured Bilateral Pericallosal Artery Aneurysm in Mirror Position: Case Report

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0038-1670697 ◽

2018 ◽

Vol 37 (03) ◽

pp. 263-266

Author(s):

Lucas Meguins ◽

Linoel Valsechi ◽

Ronaldo Fernandes ◽

Dionei Morais ◽

Antonio Spotti

Keyword(s):

Case Report ◽

Subarachnoid Hemorrhage ◽

External Ventricular Drain ◽

Artery Aneurysm ◽

Operative Management ◽

Neurological Deficits ◽

Pericallosal Artery ◽

Digital Subtraction Arteriography ◽

The Many ◽

The Right

Introduction Pericallosal artery (PA) aneurysms represent 2 to 9% of all intracranial aneurysms, and their management remains difficult. Objective The aim of the present study is to describe the case of an adult woman with subarachnoid hemorrhage and bilateral PA aneurysm in mirror position. Case Report A 46-year-old woman was referred to our institution 20 days after a sudden severe headache. She informed that she was treating her arterial hypertension irregularly, and consumed ∼ 20 cigarettes/day. The patient was neurologically intact at admission. A non-contrast computed tomography (CT) on the first day of the onset of the symptoms revealed hydrocephaly and subarachnoid hemorrhage (Fisher III). An angio-CT/digital subtraction arteriography showed bilateral PA aneurysms in mirror position. The patient was successfully treated with surgery via the right interhemispheric approach (because the surgeon is right-handed); the surgeon performed the proximal control with temporary clipping, and introduced an external ventricular drain at the end of the surgery. The patient was discharged on the fourth postoperative day without any additional neurological deficits or ventricular shunts. Conclusion Ruptured PA aneurysm is a surgically challenging aneurysm due to the many anatomical nuances and risk of rebleeding. However, the operative management of ruptured bilateral PA aneurysms is feasible and effective.

Download Full-text

Three Cases of Large-Diameter True Brachial and Axillary Artery Aneurysm and a Review of the Literature

Annals of Vascular Surgery ◽

10.1016/j.avsg.2018.08.100 ◽

2019 ◽

Vol 57 ◽

pp. 273.e11-273.e15

Author(s):

Dilsad Amanvermez Senarslan ◽

Funda Yildirim ◽

Omer Tetik

Keyword(s):

Axillary Artery ◽

Large Diameter ◽

Artery Aneurysm ◽

Review Of The Literature

Download Full-text

True Giant Ruptured Superficial Femoral Artery Aneurysm in Nonagenarian Female Patient: A Case Report and Review of the Literature

Annals of Vascular Surgery ◽

10.1016/j.avsg.2018.08.105 ◽

2019 ◽

Vol 56 ◽

pp. 353.e13-353.e17 ◽

Cited By ~ 2

Author(s):

Edoardo Frola ◽

Emanuele Ferrero ◽

Pia Cumbo ◽

Fabiana Zandrino ◽

Andrea Gaggiano

Keyword(s):

Case Report ◽

Female Patient ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Artery Aneurysm ◽

Review Of The Literature

Download Full-text

Microsurgical Treatment of Posterior Cerebral Artery Aneurysm (P2P Segment): Case Report and Review of the Literature

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0038-1675366 ◽

2018 ◽

Vol 37 (04) ◽

pp. 343-348

Author(s):

Lucas Meguins ◽

Antônio Spotti ◽

Jean de Oliveira ◽

Carlos Pereira ◽

Ronaldo Fernandes ◽

...

Keyword(s):

Case Report ◽

Cerebral Artery ◽

Posterior Cerebral Artery ◽

Artery Aneurysm ◽

Saccular Aneurysm ◽

Neurological Deficits ◽

Uneventful Recovery ◽

Cerebral Peduncle ◽

Vast Number ◽

The Right

Introduction Aneurysms of the posterior cerebral artery (PCA) represent ∼ 1% of all intracranial aneurysms and usually present with subarachnoid hemorrhage. Objective The aim of the present study is to describe the case of an adult man presenting a saccular aneurysm of the right PCA at the posterior half of the postcommunicating (P2P) segment, and to discuss the technical nuances of the approach and of the clipping process. Case Report An investigation of a chronic headache in a 55-year-old man found a saccular aneurysm located just posterior to the most lateral portion of the right cerebral peduncle. A digital subtraction arteriography revealed a 7.8 mm × 5.6 mm × 4.8 mm posterior-medial projecting aneurysm of the right PCA at the P2P segment. A subtemporal approach was performed with partial aspiration of the right parahippocampal gyrus for a better exposure of the vascular structures. A proximal temporary occlusion of the PCA was performed at the anterior half of the postcommunicating P2A segment. The aneurysm was clipped with two semi-curved clips. The patient presented an uneventful recovery and was discharged from the hospital on the third postoperative day without any additional neurological deficits. Conclusion Aneurysms of the PCA are an uncommon vascular disease that challenges the ability of the neurosurgeons due to their many anatomical nuances, to their vast number of perforators, and to the risk of bleeding. However, the operative management of aneurysms of the PCA is technically feasible, safe and effective when performed respecting microsurgical principles.

Download Full-text