Management of traumatic superficial palmar arch pseudoaneurysm: a therapeutic challenge.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2023-08-14 eCollection Date: 2023-01-01 DOI:10.1590/1677-5449.202300732
Patrick Bastos Metzger, Fernando Antonio Falcão Paixão, Sarah Fernandez Coutinho de Carvalho, Miguel Godeiro Fernandez, Simone Lessa Metzger, Maria Fernanda Lima Brandão, Rafael Borges Monteiro, Fabio Henrique Rossi
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Abstract

Pseudoaneurysm of the palmar arch is a rare entity. Diagnosis is dependent on high clinical suspicion. We present a case referred to the emergency department, with a history of glass penetrating trauma to the palmar surface with a pulsatile mass and jet bleeding. Doppler ultrasound evidenced a partially thrombosed pseudoaneurysm. A CT angiography examination showed a saccular formation arising from the superficial palmar arch. A conventional surgical approach was indicated. A clinical suspicion must be ventured to arrive at the correct diagnosis. Imaging modalities are needed to identify the pseudoaneurysm and plan the treatment course. Nonetheless, the sequence of diagnosis is individual, because further evaluation with different imaging methods may not change the rationale for the intervention. In our experience, conventional surgical removal is preferable, due to its safety and well-established outcomes.

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外伤性掌浅弓假性动脉瘤的治疗:一项治疗挑战。
掌弓假性动脉瘤是一种罕见的实体瘤。诊断取决于高度的临床怀疑。我们报告了一个转诊到急诊科的病例,有手掌表面玻璃穿透性创伤史,伴有搏动性肿块和喷射性出血。多普勒超声显示部分血栓形成的假性动脉瘤。CT血管造影术检查显示掌浅弓形成囊状结构。建议采用常规手术入路。必须大胆进行临床怀疑才能得出正确的诊断。需要使用影像学方法来识别假性动脉瘤并计划治疗过程。尽管如此,诊断顺序是个体的,因为用不同的成像方法进行进一步评估可能不会改变干预的基本原理。根据我们的经验,传统的手术切除术更可取,因为它安全且效果良好。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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