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Case Reports: Findings that shed new light on the possible pathogenesis of a disease
Management of a fusiform brachial artery aneurysm associated with birth trauma
  1. Eduardo Betancor Campos1,2,
  2. Felicia Drack2,3,
  3. Hitendu Dave2,4 and
  4. Kathrin Neuhaus2,5
  1. 1Pediatric Surgery, University Children’s Hospital Zürich, Zürich, Switzerland
  2. 2Children’s Research Center (CRC), Universitats-Kinderspital Zurich, Zürich, Switzerland
  3. 3Department of Pediatrics, Division of Emergency Medicine, Universitats-Kinderspital Zurich, Zürich, Switzerland
  4. 4Department of Surgery, Division of Cardiovascular Surgery, Universitats-Kinderspital Zurich, Zürich, Switzerland
  5. 5Department of Surgery, Division of Plastics and Reconstructive Surgery, Universitats-Kinderspital Zurich, Zürich, Switzerland
  1. Correspondence to Dr Eduardo Betancor Campos; edu.betancorcampos{at}gmail.com

Abstract

Brachial artery aneurysms in children are rare. Surgical treatment is generally recommended.

We present the case of a female toddler with a pulsatile swelling on the medial aspect of the right upper arm without history of recent trauma. Medical history revealed a traumatic birth with labour arrest. Postnatally diffuse trunk and arm haematomas as well as a temporary right arm discolouration were detected. Preoperative ultrasound revealed a true brachial artery aneurysm. A full-body MRI ruled out any accompanying lesions. Primary resection and end-to-end anastomosis were performed. Recovery was uneventful. 6-month and 12-month follow-up showed normal motor function and arterial patency; ultrasound also demonstrated harmonious growth of the anastomosed vessel segments.

No other publication has associated birth trauma with brachial artery aneurysm yet. Correct diagnosis and prompt curative surgery are key to prevent severe complications. Further reports and data on long-term outcome are needed to optimise clinical management.

  • surgery
  • paediatric surgery
  • vascular surgery
  • plastic and reconstructive surgery

https://doi.org/10.1136/bcr-2022-253814

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    Footnotes

    • Contributors I have been the principal author of this case report and the attending physician during the postoperative hospital stay. KN and DH were the attending surgeons. FD was the attending physician in the ED. All three were responsible for corrections.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.