Brachial Aneurysm Research Articles

Mycotic aneurysms in parenteral drug abusers: An Indian experience

Four femoral and one brachial mycotic aneurysms were identified in five mainliners who took various narcotic injections for personal gratification. All presented with contained rupture of a pseudoaneurysm with bleed into surrounding tissues; inflammation and celluitis with loss of distal pulses; and varying degrees of ischaemia. All patients underwent emergency surgery consisting of excision of the aneurysm and debridement of the wound which was left open to granulate. Two patients had revascularisation in the same setting by an extra-anatomic bypass using a prosthetic graft. In the other three patients only ligation was performed. The state of the local tissues, degree of ischaemia and general condition of the patient governed the decision in favour of vascular reconstruction versus simple ligation. The organism most commonly identified from the arterial wall and clot culture was Staphylococcus aureus. No fungi were isolated. All patients survived without serious ischaemic complications. None needed amputation. Appreciation of this increasingly important cause of mycotic aneurysm prompts judicious decision making and surgery towards saving limb and life.

A CASE OF ARTERIOSCLEROTIC ANEURYSM IN THE RIGHT BRACHIAL ARTERY

A brachial aneurysm is very rare among the peripheral aneurysms. It is reported in the literature that most of them are due to trauma. A 47-year-old male patient with right brachial artery aneurysm was treated successfully by means of a long saphenous vein graft. This patient had no past history regarding trauma in the right hand. The pathological examination of the specimen revealed arteriosclerotic changes in the wall of the aneurysm. Although arteriosclerosis can play an important role in aneurysmal formation, the process of brachial artery aneurysm does not appear to be explained completely by such changes.

Infantile periarteritis nodosa with coronary and brachial aneurysms: A case diagnosed during life

Summary Angiographic demonstration of bilateral brachial and coronary artery aneurysms associated with rhinitis, conjunctivitis, erythematous macular skin rash, fever, anemia, leukocytosis, and congestive heart failure supported the clinical diagnosis of periarteritis in an infant. The patient has survived for 9 months on corticosteroid therapy, but ultimate prognosis is guarded.

Fever of undetermined origin in a patient with traumatic brachial aneurysm cured by excision: Kandel, E. V.: J. A. M. A. 110: 891, 1938

Fever of undetermined origin in a patient with traumatic brachial aneurysm cured by excision: Kandel, E. V.: J. A. M. A. 110: 891, 1938

Case of diffused brachial aneurysm after bleeding

Case of diffused brachial aneurysm after bleeding