A Perplexing Presentation of Entrapment of the Brachial Artery
Joint Authors
Cevirme, Deniz
Aksoy, Eray
Adademir, Taylan
Sunar, Hasan
Source
Case Reports in Vascular Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-22
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 45-year-old male being otherwise healthy presented acute onset of right upper extremity ischemia.
On physical examination, axillary artery could be palpated whereas the brachial artery could not be palpated below the level of the antecubital fossa, including radial and ulnar artery pulses.
Pulses were also inaudible with pocket-ultrasound below the level of the brachial artery bifurcation.
The patient was initially diagnosed to have acute thromboembolic occlusion and given 5000 IU intravenous heparin.
The patient was taken to the operating room.
We noticed that the ischemic symptoms disappeared within a couple of minutes just before we began the operation.
However, ischemic symptoms reappeared six hours later and computed tomography angiography showed lack of enhancement below the elbow crease.
We were taking the patient to the operating room for the second time when the symptoms recovered in a few minutes, again.
The operation was not canceled anymore.
In the operation, the brachial artery was found anomalously perforating and it was entrapped by the bicipital aponeurosis.
The artery was relieved by resecting the aponeurosis and there was no need for any other intervention.
The patient had no more recurrence of symptoms postoperatively.
American Psychological Association (APA)
Cevirme, Deniz& Aksoy, Eray& Adademir, Taylan& Sunar, Hasan. 2015. A Perplexing Presentation of Entrapment of the Brachial Artery. Case Reports in Vascular Medicine،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060303
Modern Language Association (MLA)
Cevirme, Deniz…[et al.]. A Perplexing Presentation of Entrapment of the Brachial Artery. Case Reports in Vascular Medicine No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060303
American Medical Association (AMA)
Cevirme, Deniz& Aksoy, Eray& Adademir, Taylan& Sunar, Hasan. A Perplexing Presentation of Entrapment of the Brachial Artery. Case Reports in Vascular Medicine. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060303
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060303