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Vascular Medicine
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Brachial arteriomegaly and true aneurysmal degeneration: case report and literature review

Christian D Schunn

Section of Vascular Surgery, Department of Surgery, Robert C Byrd Health Sciences Center, West Virginia University, Morgantown, WV, USA, cschunnKhsc.wvu.edu

Timothy M Sullivan

Department of Surgical Education and Vascular Surgery Service, Greenville Hospital System, SC, USA

While brachial artery aneurysms are rare and usually of infectious, post-traumatic or iatrogenic etiology, true aneurysms of the brachial artery are even more unusual. We report on a large brachial artery aneurysm complicated by chronic contained rupture and partial outflow obstruction. This was observed 19 years after ligation of a radiocephalic (Brescia-Cimino) arteriovenous fistula for hemodialysis that had existed for 2 years. Of 581 brachial artery reconstructions performed at the Cleveland Clinic Foundation between January 1989 and December 2000, only three involved repairs of brachial artery aneurysms; only the reported case was a true aneurysm of degenerative origin for an incidence of 0.17% (1/581). The management of brachial artery aneurysms is described and the pertinent literature was reviewed.

Key Words: brachial arteriomegaly • brachial artery aneurysm • cimino arteriovenous fistula

Vascular Medicine, Vol. 7, No. 1, 25-27 (2002)
DOI: 10.1191/1358863x02vm411cr
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