Mesh : Humans Aneurysm, False / diagnostic imaging surgery etiology Male Infant Hand / blood supply Magnetic Resonance Imaging

来  源:   DOI:10.2106/JBJS.CC.23.00527

Abstract:
METHODS: Pseudoaneurysms of the hand are rare among the adult population and even more rare in pediatric patients. We report a case of a 10-month-old boy who presented with a nontraumatic pseudoaneurysm of the deep palmar arch, likely of congenital etiology. Magnetic resonance imaging and angiography identified the growing left hand palmar mass. Surgical excision without the need for vascular reconstruction was performed successfully with no recurrence or complications at 1-year follow-up.
CONCLUSIONS: Surgical excision is an effective treatment for large or symptomatic palmar pseudoaneurysms of likely congenital origin. Vascular reconstruction after excision must be considered on a case-by-case basis to ensure adequate hand perfusion.
摘要:
方法:手部假性动脉瘤在成年人群中很少见,在儿科患者中甚至更罕见。我们报告了一例10个月大的男孩,他表现为深掌弓的非创伤性假性动脉瘤,可能是先天性病因。磁共振成像和血管造影确定了不断增长的左手手掌肿块。在1年的随访中,成功进行了不需要血管重建的手术切除,没有复发或并发症。
结论:手术切除是治疗可能先天性的大型或有症状的手掌假性动脉瘤的有效方法。切除后的血管重建必须逐案考虑,以确保足够的手部灌注。
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