Abstract
A 50 year old male on chronic haemodialysis through a brachiocephalic arteriovenous fistula was transferred because of pain and symptoms of median nerve compression (A and B, asterisk). Duplex scanning noted a ruptured brachial artery (A, arrow) with a maximum diameter of 30 mm. After achieving haemostatic control the median nerve was separated from the aneurysmal wall and the aneurysm was resected. (B) A 4–5 cm length of reversed superficial femoral vein (arrow) was used for brachial artery reconstruction to prevent infection. The great saphenous vein was not used because of diameter mismatch with the dilated brachial artery.Image 1
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