BRACHIAL ARTERY ANEURYSM - A RARE CASE
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.58043/rphrc.23 |
Resumo: | Introduction: Aneurysms in the upper limb, especially those in the brachial artery, are rare when compared with other peripheral arterial aneurysms. Most of these are pseudoaneurysms caused by trauma, including iatrogenic trauma, previous surgery and drug abuse. True aneurysms may be due to congenital connective tissue abnormalities, Kawasaki syndrome, Buerger’s disease and repetitive trauma, or to be idiopathic. Case description: Male patient, 39 years old. Drug addict, in a methadone program, followed by the treatment team for the withdrawal of narcotic drugs. He went to the hospital emergency department for a right axillary abscess, after having been injected for heroin consumption, having been medicated and indicated for follow-up by his attending physician. After about a month, a pulsatile swelling was detected in the punctured site, which revealed a true aneurysmatic formation of the brachial artery, having been referred for vascular surgery consultation and submitted to surgical intervention. Conclusions: A true aneurysm of the brachial artery was found, contrary to what would be expected, a pseudoaneurysm, given that there was a penetrating trauma, which is, therefore, an even rarer occurrence and which raises the doubt if there would be, for example, any underlying vascular or atherosclerotic inflammatory disease.This case also reinforces the importance of cooperation between the family health unit and other multidisciplinary services, such as the treatment team for the withdrawal of narcotic drugs and the Vascular Surgery service. |
id |
RCAP_f61cf14c2eb32ad987d9f1dd95dd4638 |
---|---|
oai_identifier_str |
oai:ojs.revistahipertensao.pt:article/23 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
BRACHIAL ARTERY ANEURYSM - A RARE CASEANEURISMA DA ARTÉRIA BRAQUIAL – UM CASO RAROAneurisma da artéria braquial verdadeirotoxicodependênciaTrue brachial artery aneurysmdrug addictionIntroduction: Aneurysms in the upper limb, especially those in the brachial artery, are rare when compared with other peripheral arterial aneurysms. Most of these are pseudoaneurysms caused by trauma, including iatrogenic trauma, previous surgery and drug abuse. True aneurysms may be due to congenital connective tissue abnormalities, Kawasaki syndrome, Buerger’s disease and repetitive trauma, or to be idiopathic. Case description: Male patient, 39 years old. Drug addict, in a methadone program, followed by the treatment team for the withdrawal of narcotic drugs. He went to the hospital emergency department for a right axillary abscess, after having been injected for heroin consumption, having been medicated and indicated for follow-up by his attending physician. After about a month, a pulsatile swelling was detected in the punctured site, which revealed a true aneurysmatic formation of the brachial artery, having been referred for vascular surgery consultation and submitted to surgical intervention. Conclusions: A true aneurysm of the brachial artery was found, contrary to what would be expected, a pseudoaneurysm, given that there was a penetrating trauma, which is, therefore, an even rarer occurrence and which raises the doubt if there would be, for example, any underlying vascular or atherosclerotic inflammatory disease.This case also reinforces the importance of cooperation between the family health unit and other multidisciplinary services, such as the treatment team for the withdrawal of narcotic drugs and the Vascular Surgery service.Introdução: Os aneurismas no membro superior, especialmente os da artéria braquial, são raros quando comparados com outros aneurismas arteriais periféricos. A maioria destes são pseudo-aneurismas causados por traumatismo, incluindo trauma iatrogénico, cirurgia anterior e abuso de drogas. Os aneurismas verdadeiros podem-se dever a anormalidades congénitas do tecido conjuntivo, síndrome de Kawasaki, doença de Buerger e trauma repetitivo, ou serem idiopáticos. Descrição do caso: Utente do sexo masculino, 39 anos. Toxicodependente, em programa de metadona, seguido na equipa de tratamento para a desabituação de estupefacientes. Recorreu ao Serviço de urgência hospitalar por abcesso axilar direito, após se ter injetado para consumo de heroína, tendo sido medicado e com indicação para seguimento no seu médico assistente. Passado cerca de um mês detetou-se uma tumefação pulsátil no local puncionado, que se veio a revelar uma formação aneurismática verdadeira da artéria braquial, tendo sido referenciado para consulta de Cirurgia Vascular e submetido a intervenção cirúrgica. Conclusões: Encontrou-se um aneurisma verdadeiro da artéria braquial, ao contrário do que seria expetável, um pseudo- aneurisma, dado que houve um trauma penetrante, tratando-se, portanto de uma ocorrência ainda mais rara e que levanta a dúvida se haveria por exemplo alguma doença inflamatória vascular ou aterosclerótica subjacente.Este caso vem reforçar também a importância que existe na cooperação entre a unidade de saúde familiar e os outros serviços multidisciplinares, como a equipa de tratamento para a desabituação de estupefacientes e o serviço de Cirurgia Vascular.Revista Portuguesa de Hipertensão e Risco Cardiovascular2022-05-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.23https://doi.org/10.58043/rphrc.23Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 85 (2021): Setembro / Outubro; 32-331646-8287reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistahipertensao.pt/index.php/rh/article/view/23https://revistahipertensao.pt/index.php/rh/article/view/23/23Portela, RaquelMarcos, DavidAlmeida, Sarainfo:eu-repo/semantics/openAccess2024-02-03T07:36:27Zoai:ojs.revistahipertensao.pt:article/23Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:05:07.832762Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
BRACHIAL ARTERY ANEURYSM - A RARE CASE ANEURISMA DA ARTÉRIA BRAQUIAL – UM CASO RARO |
title |
BRACHIAL ARTERY ANEURYSM - A RARE CASE |
spellingShingle |
BRACHIAL ARTERY ANEURYSM - A RARE CASE Portela, Raquel Aneurisma da artéria braquial verdadeiro toxicodependência True brachial artery aneurysm drug addiction |
title_short |
BRACHIAL ARTERY ANEURYSM - A RARE CASE |
title_full |
BRACHIAL ARTERY ANEURYSM - A RARE CASE |
title_fullStr |
BRACHIAL ARTERY ANEURYSM - A RARE CASE |
title_full_unstemmed |
BRACHIAL ARTERY ANEURYSM - A RARE CASE |
title_sort |
BRACHIAL ARTERY ANEURYSM - A RARE CASE |
author |
Portela, Raquel |
author_facet |
Portela, Raquel Marcos, David Almeida, Sara |
author_role |
author |
author2 |
Marcos, David Almeida, Sara |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Portela, Raquel Marcos, David Almeida, Sara |
dc.subject.por.fl_str_mv |
Aneurisma da artéria braquial verdadeiro toxicodependência True brachial artery aneurysm drug addiction |
topic |
Aneurisma da artéria braquial verdadeiro toxicodependência True brachial artery aneurysm drug addiction |
description |
Introduction: Aneurysms in the upper limb, especially those in the brachial artery, are rare when compared with other peripheral arterial aneurysms. Most of these are pseudoaneurysms caused by trauma, including iatrogenic trauma, previous surgery and drug abuse. True aneurysms may be due to congenital connective tissue abnormalities, Kawasaki syndrome, Buerger’s disease and repetitive trauma, or to be idiopathic. Case description: Male patient, 39 years old. Drug addict, in a methadone program, followed by the treatment team for the withdrawal of narcotic drugs. He went to the hospital emergency department for a right axillary abscess, after having been injected for heroin consumption, having been medicated and indicated for follow-up by his attending physician. After about a month, a pulsatile swelling was detected in the punctured site, which revealed a true aneurysmatic formation of the brachial artery, having been referred for vascular surgery consultation and submitted to surgical intervention. Conclusions: A true aneurysm of the brachial artery was found, contrary to what would be expected, a pseudoaneurysm, given that there was a penetrating trauma, which is, therefore, an even rarer occurrence and which raises the doubt if there would be, for example, any underlying vascular or atherosclerotic inflammatory disease.This case also reinforces the importance of cooperation between the family health unit and other multidisciplinary services, such as the treatment team for the withdrawal of narcotic drugs and the Vascular Surgery service. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.58043/rphrc.23 https://doi.org/10.58043/rphrc.23 |
url |
https://doi.org/10.58043/rphrc.23 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistahipertensao.pt/index.php/rh/article/view/23 https://revistahipertensao.pt/index.php/rh/article/view/23/23 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular |
publisher.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular |
dc.source.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 85 (2021): Setembro / Outubro; 32-33 1646-8287 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130513362911232 |