Diagnostic dilemma of proximal ulnar artery aneurysm

A 67-year-old lady presented to the vascular clinic with (8 × 4) cm pulsatile swelling in her right medial forearm and had congenital high-flow AV fistula in the same arm ligated in the antecubital fossa 2 years earlier. MR angiogram failed to make a definitive diagnosis and conventional angiogram w...

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Bibliographic Details
Main Authors: Vinojan Satchithanantham, MD, FRCS(Ed), Mohamed Banihani, MD, FRCS(Ed)
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323000420
Description
Summary:A 67-year-old lady presented to the vascular clinic with (8 × 4) cm pulsatile swelling in her right medial forearm and had congenital high-flow AV fistula in the same arm ligated in the antecubital fossa 2 years earlier. MR angiogram failed to make a definitive diagnosis and conventional angiogram was also inconclusive. As she became more symptomatic consequently, underwent surgical procedures. The finding was a large proximal ulnar artery aneurysm. The aneurysm was excised and artery was ligated. Proximal ulnar artery aneurysms are rarely reported in the literature. Thus, this case presents a diagnostic challenge in persistent flow despite the large thrombus.
ISSN:1930-0433