Surgical treatment of a rare brachial artery aneurysm post-arteriovenous fistula closure after kidney transplant: A case report

• Published in: World journal of clinical cases Vol. 12; no. 21; pp. 4755 - 4761
• Main Authors: Demirkan, Nahit Arda, Keskin, Yasemin, Sevinç, Hakan, Çetinkaya, Ömer Arda
• Format: Journal Article
• Language: English
• Published: United States Baishideng Publishing Group Inc 26-07-2024
• Subjects: Case Report; Arteriovenous fistula; Case report; Surgical repair; Brachial artery aneurysm; Autologous vein interposition; Kidney transplantation
• ISSN: 2307-8960; 2307-8960
• DOI: 10.12998/wjcc.v12.i21.4755

Brachial artery aneurysms are defined as dilations greater than 50% of the normal diameter, which are rare among all peripheral arterial aneurysms. While they are often present as pseudoaneurysms, true brachial artery aneurysms are also detected rarely. In this case report, the surgical repair method of true brachial artery aneurysms, which is a rare condition, is explained.
Herein, we present a 61-year-old male patient with complaints of swelling and pain in the right arm antecubital region that had been progressing over 6 mo. Upon the diagnosis of a true brachial artery aneurysm associated with arteriovenous fistula, the aneurysm was surgically repaired with an autologous saphenous vein graft. The patient was discharged without any neurovascular complications postoperatively.
True brachial artery aneurysms are rare and there are not any recommendations for their management in the current literature. Even though the treatment of true aneurysms in this artery is primarily based on a surgical treatment, endovascular repair also might be an option.