Aneurysm of Upper Limb Arteries in Children: Report of Five Cases

Background. Arterial aneurysm in children is rare. Aim. To present the description of case series of successful surgical treatment of upper limb aneurysms in children. The case series included 2 boys and 3 girls, with median age 3.3 years. One of them was a newborn with a true brachial artery aneury...

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Main Authors: Ildar Nurmeev, Dmitry Osipov, Bruce Okoye
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2020/9198723
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author Ildar Nurmeev
Dmitry Osipov
Bruce Okoye
author_facet Ildar Nurmeev
Dmitry Osipov
Bruce Okoye
author_sort Ildar Nurmeev
collection DOAJ
description Background. Arterial aneurysm in children is rare. Aim. To present the description of case series of successful surgical treatment of upper limb aneurysms in children. The case series included 2 boys and 3 girls, with median age 3.3 years. One of them was a newborn with a true brachial artery aneurysm. Aneurysms were in the brachial (n = 3) and radial (n = 2) arteries. Two patients had idiopathic aneurysms. Two cases were associated with connective tissue dysplasia syndrome. One patient had a history of trauma. In 4 of 5 cases, there was a true aneurysm and in one a pseudoaneurysm. Diagnosis was carried out in all cases by using ultrasound, with arteriography in one case. All 5 children were operated on. Resection of the aneurysm and restoration of arterial patency was performed in 4 of 5 cases (ligation of the radial artery near the aneurysm in 1 case, aneurysm resection with end-to-end anastomosis in 1 case, resection with PTFE graft implantation in 1 case, and resection with implantation of an autovenous graft in 2 cases. Complications. Dysfunction and thrombosis of the PTFE graft required reoperation using an autovenous graft. Conclusion. Despite the rarity of the disease, timely and adequate surgical treatment of aneurysms of the arteries of the upper extremities in children is possible successfully in a specialized hospital.
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spelling doaj-art-cc9616d362294568ba3b4f28d063f1b82025-02-03T01:03:48ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/91987239198723Aneurysm of Upper Limb Arteries in Children: Report of Five CasesIldar Nurmeev0Dmitry Osipov1Bruce Okoye2Department of Pediatric Surgery, Kazan Medical University, Kazan, RussiaDepartment of Cardiovascular Surgery, Children’s Republican Hospital, Kazan, RussiaDepartment of Pediatric Surgery, St Georges Hospital NHS Trust, London, UKBackground. Arterial aneurysm in children is rare. Aim. To present the description of case series of successful surgical treatment of upper limb aneurysms in children. The case series included 2 boys and 3 girls, with median age 3.3 years. One of them was a newborn with a true brachial artery aneurysm. Aneurysms were in the brachial (n = 3) and radial (n = 2) arteries. Two patients had idiopathic aneurysms. Two cases were associated with connective tissue dysplasia syndrome. One patient had a history of trauma. In 4 of 5 cases, there was a true aneurysm and in one a pseudoaneurysm. Diagnosis was carried out in all cases by using ultrasound, with arteriography in one case. All 5 children were operated on. Resection of the aneurysm and restoration of arterial patency was performed in 4 of 5 cases (ligation of the radial artery near the aneurysm in 1 case, aneurysm resection with end-to-end anastomosis in 1 case, resection with PTFE graft implantation in 1 case, and resection with implantation of an autovenous graft in 2 cases. Complications. Dysfunction and thrombosis of the PTFE graft required reoperation using an autovenous graft. Conclusion. Despite the rarity of the disease, timely and adequate surgical treatment of aneurysms of the arteries of the upper extremities in children is possible successfully in a specialized hospital.http://dx.doi.org/10.1155/2020/9198723
spellingShingle Ildar Nurmeev
Dmitry Osipov
Bruce Okoye
Aneurysm of Upper Limb Arteries in Children: Report of Five Cases
Case Reports in Medicine
title Aneurysm of Upper Limb Arteries in Children: Report of Five Cases
title_full Aneurysm of Upper Limb Arteries in Children: Report of Five Cases
title_fullStr Aneurysm of Upper Limb Arteries in Children: Report of Five Cases
title_full_unstemmed Aneurysm of Upper Limb Arteries in Children: Report of Five Cases
title_short Aneurysm of Upper Limb Arteries in Children: Report of Five Cases
title_sort aneurysm of upper limb arteries in children report of five cases
url http://dx.doi.org/10.1155/2020/9198723
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AT dmitryosipov aneurysmofupperlimbarteriesinchildrenreportoffivecases
AT bruceokoye aneurysmofupperlimbarteriesinchildrenreportoffivecases