| Revascularization after Removal
of Aneurysm of the Superficialized Brachial Artery―Successful
Treatment with Brachial-Ulnar Artery Bypass through the Ulnar
Side Roots in the Elbow― |
(Department of Cardiovascular Surgery, Koseikai
Takai Hospital, Tenri, Japan)
| Shigeo Nagasaka |
Masahiro Matsuta |
Toshiyuki Kuwata |
|
We performed 6 revascularization
procedures in 5 patients after removing aneurysms of the superficialized
brachial artery. The patients were 2 men and 3 women with an
age range of 52 to 73 years. Their periods of hemodialysis ranged
from 1 to 10 years. The aneurysms included 3 unruptured aneurysms,
1 ruptured aneurysm at the anastomosis site of an arteriovenous
fistula and 1 ruptured infected aneurysm. Three procedures with
interposed techniques for aneurysms and 3 brachial-urnal bypasses
through the ulnar side roots of the elbow were performed with
saphenous vein grafts (SVG) for revascularization. Two interposed
SVGs closed after operation angiographically. In contrast, all
brachial-ulnar bypass SVGs remained patent. One patient of the
2 graft occlusion patients had a ruptured infected aneurysm,
and the other patient had exercised his elbow joint actively
after operation. In conclusion, brachial-ulnar bypass through
the ulnar side roots in the elbow is an effective revascularization
technique for patients who exercise the elbow joint after operation
or who have infected aneurysms.
Jpn. J. Cardiovasc. Surg. 32：23-27（2003) |
|
