Successful nonoperative management of mycotic radial artery pseudoaneurysm in patient with absent superficial palmar arch

Abstract

We present the case of a patient in whom a mycotic radial artery false aneurysm developed after removal of a radial arterial line; anatomic constraints precluded simple resection and ligation of the infected artery. The patient was successfully treated nonoperatively by compression bandaging, intravenous antifungals, and serial imaging. This case represents an alternative to standard management of a mycotic aneurysm and demonstrates the importance of an individualized approach to patient care.

Compression syndrome of distal peripheral aneurysms of the upper limb

“…Compression with a sonographic probe for 20 minutes in three patients was unsuccessful. Injection of thrombin under sonographic control was also carried out, and despite a relatively high success rate (86%), the risk of serious complications was also confirmed, especially the thrombosis of the a. brachialis, which required urgent surgical intervention (20,21,22). Therefore, these methods cannot be used as the first line of PSA of a. radialis therapy in the future.…”