2012
DOI: 10.1007/s11748-012-0075-6
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Late, giant brachial artery aneurysm following hemodialysis fistula ligation in a renal transplant patient: case report and literature review

Abstract: Brachial artery aneurysm (BAA) following long-standing arteriovenous fistula ligation after renal transplantation is uncommon. Herein, we describe the case of a 64-year-old man who developed a giant symptomatic BAA 21 years after ligation of the fistula. He was submitted to surgical excision of the aneurysm followed by interposition prosthetic graft.

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Cited by 29 publications
(47 citation statements)
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“…The clinical picture can involve hand ischemia from distal embolization, occurring in up to 47% of patients, and neuropathy from median nerve compression or entrapment 7, 13. Aneurysmal symptoms are commonly secondary to mass effect as frank rupture is exceedingly rare 3, 7, 8.…”
Section: Discussionmentioning
confidence: 99%
“…The clinical picture can involve hand ischemia from distal embolization, occurring in up to 47% of patients, and neuropathy from median nerve compression or entrapment 7, 13. Aneurysmal symptoms are commonly secondary to mass effect as frank rupture is exceedingly rare 3, 7, 8.…”
Section: Discussionmentioning
confidence: 99%
“…It may be associated with infection, trauma, congenital defects, or iatrogenic injuries. 6,9 Most reported cases of true brachial artery aneurysms have been a consequence of longstanding posttraumatic AVFs. 10 Aneurysms can also develop in the inflow arteries after construction of AVFs for hemodialysis.…”
Section: Discussionmentioning
confidence: 99%
“…18 Brachial artery aneurysms can appear years after AVF ligation. 9,10 The most common clinical presentations of DBAA are pain, swelling, and pulsatile mass in the arm. Distal embolization can occur in almost 30% of cases, due to mobilization of mural thrombus within the aneurysm.…”
Section: Discussionmentioning
confidence: 99%
“…Complications include thrombosis of the sac, thromboembolic events with ischemia, and disruption causing profuse bleeding [6]. …”
Section: Discussionmentioning
confidence: 99%