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Metachronous Giant Brachial Artery Pseudoaneurysms: A Case Report and Review of the Literature

Section of Vascular Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois

Robert Lohman, MD

Section of Plastic and Reconstructive Surgery Department of of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois

Benjamin J. Pearce, MD

Section of Vascular Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois

Lisa R.P. Spiguel, MD

Section of Vascular Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois

Amir Dorafshar, MD

Section of Plastic and Reconstructive Surgery Department of of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois

Christopher L. Skelly, MD

Section of Vascular Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois, cskelly{at}surgery.bsd.uchicago.edu

Brachial artery pseudoaneurysms secondary to intravenous drug abuse represent a limb-threatening problem to patients and a technical challenge to the vascular surgeon. Here information is reported about a patient with metachronous bilateral giant brachial artery pseudoaneurysms secondary to intravenous drug use that were successfully treated with excision of the aneurysm and ligation of the brachial artery. Furthermore, a review of the current literature on the treatment of brachial artery aneurysm is presented.

Key Words: pseudoaneurysm • brachial artery • upper extremity • intravenous drug use • mycotic aneurysm

Vascular and Endovascular Surgery, Vol. 41, No. 5, 467-472 (2007)
DOI: 10.1177/1538574407304508


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