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Abstract

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A Rare Case of Giant True Brachial Arterial Aneurysm after Operation of Surfaced Brachial Artery
Hideyuki Iwaki1, Seko Suzuki1, Hisataka Uchima1, Masafumi Hioki2, Toshimi Yajima3, Takashi Nitta3, Masami Ochi3 and Kazuo Shimizu3
1Department of Cardiovascular Surgery, Urasoe General Hospital, Okinawa
2Department of Cardiovascular Surgery, Nippon Medical School Musashi Kosugi Hospital
3Department of Biological Regulation and Regenerative Surgery, Nippon Medical School Graduate School of Medicine

We present a case of true aneurysm of the brachial artery which is an extremely rare type of peripheral aneurysm. A 74-year-old man was admitted to our hospital because of a large brachial mass. He had a history of chronic renal failure due to diabetic nephropathy and had received hemodialysis for 10 years. He had an operation of surfaced brachial artery 4 years earlier. After this operation, the surgical wound became infected, and the surfaced brachial artery could not be used for hemodialysis. Digital subtraction angiography revealed a large aneurysm of the left brachial artery. Therefore, we treated the brachial arterial aneurysm with a saphenous vein graft. Although we had believed the aneurysm to be a pseudoaneurysm because of the history of wound infection after a previous operation, it was diagnosed as a true aneurysm on the basis of the pathological findings.

“úˆã‘åˆã‰ïŽ 2007; 3(1), 30-33

Key words
true brachial arterial aneurysm, surfaced brachial artery, hemodialysis

Correspondence to
Hideyuki Iwaki, Department of Cardiovascular Surgery, Nippon Medical School Musashi Kosugi Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kanagawa 211-8533, Japan
E-mailFiwaki@nms.ac.jp

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