Superficial ulnar artery pseudoaneurysm

The ulnar artery is the larger terminal branch of the brachial artery. It originates in the cubital fossa and is covered by the flexor muscles of the forearm. We report an anatomic variant in which the ulnar artery was in a superficial position in the forearm. Since this variant was unknown, an attempted venous puncture injured the artery, causing formation of a pseudoaneurysm.

Keywords:
ulnar artery; anatomic variant; pseudoaneurysm

Authorship

Mariana Jordão França

conception and design

analysis and interpretation

writing the article

critical revision of the article

final approval of the article

overall responsibility

Universidade Positivo – UP, Curitiba, PR, Brasil.Universidade PositivoBrasilCuritiba, PR, BrasilUniversidade Positivo – UP, Curitiba, PR, Brasil.

https://orcid.org/0000-0001-9552-7822

Luciana Akemi Takahashi

analysis and interpretation

data collection

writing the article

critical revision of the article

final approval of the article

Universidade Federal do Paraná – UFPR, Hospital de Clínicas, Curitiba, PR, Brasil.Universidade Federal do ParanáBrasilCuritiba, PR, BrasilUniversidade Federal do Paraná – UFPR, Hospital de Clínicas, Curitiba, PR, Brasil.

https://orcid.org/0000-0002-0667-0254

Graciliano José França

analysis and interpretation

data collection

writing the article

critical revision of the article

final approval of the article

https://orcid.org/0000-0002-1733-4299

Claudio Augusto Carvalho

data collection

final approval of the article

https://orcid.org/0000-0003-0347-4239

Maria Alice Zarate Nissel

data collection

final approval of the article

https://orcid.org/0000-0002-7712-3012

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

Ethics committee approval: CAAE 62842222.4.0000.0093, consolidated opinion 5.702.203.

Correspondence Mariana Jordão França Universidade Positivo – UP Rua Francisco Rocha, 165 - Batel CEP 80420-130 - Curitiba (PR), Brasil Tel.: +55 (41) 99179-0308 E-mail: marianajfranca@gmail.com

Author information MJF - Medical student, Universidade Positivo (UP). LAT - MD, Ultrassonografia Vascular com Doppler, Hospital de Clínicas, Universidade Federal do Paraná (UFPR). GJF - MSc; PhD, Departamento de Cirurgia, Universidade Federal do Paraná (UFPR); MD, Ultrassonografia Vascular com Doppler, Hospital de Clínicas, Universidade Federal do Paraná (UFPR). CAC - Vascular surgeon, Hospital de Clínicas, Universidade Federal do Paraná (UFPR). MAZN - Cirurgia Vascular resident, Hospital de Clínicas, Universidade Federal do Paraná (UFPR).

SCIMAGO INSTITUTIONS RANKINGS

Universidade Positivo – UP, Curitiba, PR, Brasil.Universidade PositivoBrasilCuritiba, PR, BrasilUniversidade Positivo – UP, Curitiba, PR, Brasil.

Figures

Figures (12)

Thumbnail

Figure 1
Pseudoaneurysm seen during physical examination.

Thumbnail

Figure 2
Superficial ulnar artery originating from the axillary artery.

Thumbnail

Figure 3
Doppler ultrasonography demonstrating the superficial ulnar artery and arterial flow into the pseudoaneurysm sac.

Thumbnail

Figure 4
Measurement of the dimensions in B-mode.

Thumbnail

Figure 5
Doppler ultrasonography demonstrating the superficial ulnar artery and arterial flow into the pseudoaneurysm sac with Power Doppler.

Thumbnail

Figure 6
Superficial ulnar artery pseudoaneurysm after proximal and distal control.

Thumbnail

Figure 7
Pseudoaneurysm after resection.

Thumbnail

Figure 8
Pseudoaneurysm opened, showing recent thrombi.

Thumbnail

Figure 9
Appearance of surgical scar 3 months postoperatively.

Thumbnail

Figure 10
Absence of flow on Doppler along the path of the superficial ulnar artery.

Thumbnail

Figure 11
Superficial palmar arch patent on color Doppler ultrasonography.

Thumbnail

Figure 12
Deep palmar arch patent on color Doppler ultrasonography.

Figure 1 Pseudoaneurysm seen during physical examination.

Figure 2 Superficial ulnar artery originating from the axillary artery.

Figure 3 Doppler ultrasonography demonstrating the superficial ulnar artery and arterial flow into the pseudoaneurysm sac.

Figure 4 Measurement of the dimensions in B-mode.

Figure 5 Doppler ultrasonography demonstrating the superficial ulnar artery and arterial flow into the pseudoaneurysm sac with Power Doppler.

Figure 6 Superficial ulnar artery pseudoaneurysm after proximal and distal control.

Figure 7 Pseudoaneurysm after resection.

Figure 8 Pseudoaneurysm opened, showing recent thrombi.

Figure 9 Appearance of surgical scar 3 months postoperatively.

Figure 10 Absence of flow on Doppler along the path of the superficial ulnar artery.

Figure 11 Superficial palmar arch patent on color Doppler ultrasonography.

Figure 12 Deep palmar arch patent on color Doppler ultrasonography.

How to cite

copy

Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) Rua Estela, 515, bloco E, conj. 21, Vila Mariana, CEP04011-002 - São Paulo, SP, Tel.: (11) 5084.3482 / 5084.2853 - Porto Alegre - RS - Brazil
E-mail: secretaria@sbacv.org.br

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Português
Inglês

Versões e tradução automática

Versão original do texto

English
Português

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org

Leia a Declaração de Acesso Aberto

Métricas

Superficial ulnar artery pseudoaneurysm

PlumX

Mensagem

[1] Conflicts of interest: No conflicts of interest declared concerning the publication of this article.