Idiopathic true aneurysm of the superficial palmar arch artery. Presentation of a case
DOI:
https://doi.org/10.56294/hl2024.544Keywords:
Aneurysm, Superficial Palmar Arch, Pulsatility, FrémitoAbstract
Introduction: We present the surgical clinical case of a superficial palmar arch aneurysm of the left upper limb.
Results: Treatment was performed with analgesics combined with total aneurysmectomy of the involved vessel, then continued with local cures and ends with a comprehensive rehabilitation process in order to recover the important functions of the hand and its digital pincer.
Conclusions: We draw attention to this rare pathology in the differential diagnosis of different tumors in the palmar region. This case presents the classic clinical features of an aneurysm, such as pulsatility and frémito, although it occurred in a young patient. Due to their low incidence, these aneurysms represent a challenge in diagnosis and treatment
References
1. Drake RL, Vogl AW, Mitchell AM. Gray Anatomía para Estudiantes. 2 ed. España: Elsevier; 2010.
2. Vaquero C. Factores geométricos y su incidencia en aneurismas de aorta abdominal. Estudio preliminar. Reporte interno 33/09 del Hospital Clínico de Valladolid; 2009.
3. Volokh KY, Vorp DA. A model of growth and rupture of abdominal aortic aneurysm. J Biomech. 2008;41(5):1015-21. Citado en PubMed; PMID: 18255074.
4. Vilalta G, Nieto F, Vaquero C. Quantitative indicator of abdominal aortic aneurysms ruptures risk based on its geometric parameters. En: Proceedings book of the 2010 International Conference on Biomedical Science and Technology, Amsterdam 28-30 de September; 2010.
5. Papaharilaou Y, Ekaterinaris JA, Manousaki E, Katsamouris AN. A decoupled fluid structure approach for estimating wall stress in abdominal aortic aneurysm. J Biomech. 2007;40(2):367-77. Citado en PubMed; PMID: 16500664.
6. Vorp David A. Biomechanics of abdominal aortic aneurysm. J Biomechanics. 2007;40(9):1887-902. Citado en PubMed; PMID: 17254589.
7. Hoornweg LL, Storm-Versloot MN, Ubbink DT, Koelemay MJ, Legemate DA, Balm R. Meta analysis on mortality of ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2008;35(5):558-7015. Citado en PubMed; PMID: 18226567.
8. Mendonça CT, Moreira RCR, Carvalho CA. Tratamento endovascular de aneurismas da aorta abdominal em pacientes de alto risco cirúrgico. J Vasc Bras. 2009;8:56-64.
9. Von Ristow A, Pedron C, Gress MHT, Vescovi A, Massiére BV. Aneurisma da aorta abdominal-tratamento pela técnica endovascular. En: Brito CJ. Cirurgia vascular -cirurgia endovascular -Angiologia. Rio de Janeiro: Revinter; 2008. p. 1225-304.
10. Oshin OA, Fisher RK, Williams LA, Brennan JA, Gilling-Smith GL, Vallabhaneni SR. Adjunctive iliac stents reduce the risk of stent-graft limb occlusion following endovascular aneurysm repair with the Zenith stent-graft. J Endovasc Ther. 2010;17(1):108-14. Citado en PubMed; PMID: 20199276.
11. Cochennec F, Marzelle J, Alaire E, Desgranges P, Becquemin JP. Open vs endovascular repair of abdominal aortic aneurysm involving the iliac bifurcation. J Vasc Surg. 2010;51(6):1360-6. Citado en PubMed; PMID: 20347547.
12. Karthikesalingam A, Hinchliffe RJ, Malkawi AH. Morphological suitability of patients with aortoiliac aneurysms for endovascular preservation of the internal iliac artery using commercially available iliac branch graft devices. J Endovasc Ther. 2010;17(2):163-71. Citado en PubMed; PMID: 20426631.
13. Puech-Leão P. Correção endoluminal dos aneurismas. En: Maffei FHA. Doenças vasculares periféricas. 4ta ed. Rio de Janeiro: Guanabara Koogan; 2008. p. 1386-97.
14. Hinchliffe RJ, Hopkinson BR. Natureza, frequência e fatores de risco dos procedimentos secundários realizados após a correção endovascular do aneurisma da aorta abdominal. En: Lobato AC. Tratamento endovascular das complicações aorto-ilíacas. São Paulo: Instituto de Cirurgia Vascular e Endovascular; 2008. p. 215-22.
15. Turnbull IC, Criado FJ, Sanchez L, Sadek M, Malik R, Ellozy SH, et al. Five-year results for the talent enhanced low profile system abdominal stent graft pivotal trial including early and long-term safety and efficacy. J Vasc Surg. 2010;51(3):537-44, 44.e1-2. Citado en PubMed; PMID: 20206803.
16. Ugarte JC. Manual de tomografía axial computarizada multicorte. 3ra ed. La Habana: Ecimed; 2006.
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