SURGICAL TREATMENT OF A GIANT IATROGENIC BRACHIAL ARTERY PSEUDOANEURYSM AFTER PERCUTANEOUS CORONARY INTERVENTION
Keywords:
pseudoaneurysm, brachial artery, iatrogenic vascular injury, post-injection aneurysm, autovenous conAbstract
Introduction. Pseudoangiogenesis of the peripheral arteries is a rare but dangerous pathology, often associated with jatropic injury.
Case description. This publication describes the case of successful surgical treatment of a 71-year-old patient with giant hyatrogenic pseudoangiogenesis of the right humeral artery, which developed after stenosis of the left coronary artery, complicated by compression of the median nerve. The patient underwent a pseudoangiogenesis and prosthesis of the brachial artery with an austenitic graft, which allowed to completely eliminate the ischemic and neurological symptoms.
Conclusion. Given the size of the pseudoaneurysm expressed compression of the surrounding tissues, open surgery was preferable to low-invasive thrombi injection, which is effective at small volumes of pseudoaneurysm