RESUMO
Presentamos un paciente joven con aneurisma en el segmento palmar de la arteria cubital, secundario a traumatismos contusos repetidos, asociado con su actividad laboral. El paciente fue tratado exitosamente mediante escisión del aneurisma sin reconstrucción arterial, actualmente asintomático, en seguimiento hace 6 meses. Realizamos una revisión de la fisiopatología, manifestaciones clínicas, métodos diagnósticos y el tratamiento quirúrgico de la enfermedad aneurismática en la arteria cubital (AU)
A Young patient with an aneurysm in the palmar segment of the ulnar artery, secondary to repetitive blunt trauma, associated with his laboral a ctivity, is presented. The patient underwent a successful aneurysmectome y without revascularization, he was asymptomatic during a six-month follow-up. A review of the pathophysiology, clinical manifestations, diagnostic methods and surgical management of the ulnar artery aneurysm, was done (AU)
Assuntos
Humanos , Masculino , Artéria Ulnar , Aneurisma/cirurgia , Contusões/complicações , Transtornos Traumáticos Cumulativos/diagnóstico , Exposição OcupacionalRESUMO
The endoluminal approach of the diffusely atheromatous aorta (DAA) is an emerging tool to prevent further embolization. We treated one symptomatic patient with DAA. We designed a catheter with a balloon at the tip for occlusion of both common iliac arteries through which the antegrade flow was allowed by an iliac to femoral arterio-arterial shunt connected to an in-line filter. Filter wires were also placed in the superior mesenteric and both renal arteries' take-off, keeping their antegrade flow. The endograft was then introduced through these tubes. Endoluminal treatment of the primary source of atheromatous embolization is feasible, representing a new approach to be considered.
