Mycotic aneurysm in a digital artery: case report and literature review

A mycotic aneurysm of the common digital artery at its junction with the palmar arch, extending into the ulnar proper digital artery of the index finger, is reported in a patient with endocarditis. A review of the English-language literature revealed no case of mycotic aneurysm in a digital artery....

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Bibliographic Details
Published in:	The Journal of hand surgery (American ed.) Vol. 15; no. 2; p. 305
Main Authors:	Berrettoni, B A, Seitz, Jr, W H
Format:	Journal Article
Language:	English
Published:	United States 01-03-1990
Subjects:	Aged Aneurysm, Infected - diagnosis Aneurysm, Infected - etiology Aneurysm, Infected - surgery Angiography Endocarditis - complications Fingers - blood supply Humans Male Time Factors Ultrasonography
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Summary:	A mycotic aneurysm of the common digital artery at its junction with the palmar arch, extending into the ulnar proper digital artery of the index finger, is reported in a patient with endocarditis. A review of the English-language literature revealed no case of mycotic aneurysm in a digital artery. Diagnosis of the aneurysm was established noninvasively by ultrasound. Because this patient lacked a radial proper digital artery to the finger, the aneurysm was managed by excision and revascularization with a bypass graft from the long finger. Postoperative circulatory monitoring was facilitated by a pulse oximeter.
ISSN:	0363-5023
DOI:	10.1016/0363-5023(90)90114-7