Concomitant Pseudoaneurysm and Arteriovenous Fistula Formation of Brachial.docVIP

Case Report Concomitant Pseudoaneurysm and Arteriovenous Fistula Formation of Brachial Artery: A Case Report Akshara Gupta,AchalGupta, NiteshAgarwal Department of Radio diagnosis, Madhav Dispensary, Gajra Raja Medical College JAH Group of Hospitals, Gwalior - 474009 (Received February , 2012) (Accepted November, 2012) Abstract: Concomitant pseudoaneurysm and arteriovenous (AV) fistula formation of brachial artery after a penetrating injury has been rarely reported. False aneurysms of peripheral arteries are very rare. It is usually of infectious, post- traumatic or of iatrogenic etiology. In most cases, these are the result of penetrating injuries such as gunshot or stab wounds and iatrogenic arterial injuries. Brachial artery is not a common site for peripheral artery aneurysms. Its association with fistula formation with adjacent vein makes this a rare case. This case was diagnosed on colour duplex ultrasound and confirmed on subtraction angiography. Key Words: Pseudoaneurysm, Brachial artery, Arteriovenous fistula. Introduction: Post-traumatic pseudoaneurysm development is very rare in the peripheral arteries and is generally a bleeding wound. He took primary treatment in his local late sequelae of trauma. The frequency of peripheral for 3 month. He gave a history of penetrating trauma by an iron rod while cutting it, which caused a profusely area. Later on he developed a painless gradually artery pseudoaneurysms is less common in the upper extremity as compared to the lower extremity (Wielenberg et al, 2000). Popliteal artery is comparatively a common site in lower extremity, but brachial artery aneurysm is an uncommon entity. Only few cases of brachial artery pseudoaneurysms have been reported in the medical literature to date but no increasing swelling which did not cause any impairment in the functional capacity of the limb (Tetik et al, 2002). Only his apprehension about the nature