Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.202300471
Jornal Vascular Brasileiro
Therapeutic Challenge

Pseudoaneurisma de artéria ulnar superficial

Superficial ulnar artery pseudoaneurysm

Mariana Jordão França; Luciana Akemi Takahashi; Graciliano José França; Claudio Augusto Carvalho; Maria Alice Zarate Nissel

Downloads: 0
Views: 481

Resumo

A artéria ulnar é o maior ramo terminal da artéria braquial, ela apresenta origem na fossa cubital e é coberta pelos músculos flexores do antebraço. Reportamos uma variação anatômica, na qual a artéria ulnar situava-se em posição superficial no antebraço. Por falta de conhecimento sobre essa variação, ocorreu a lesão após uma tentativa de punção venosa, a qual levou à formação de um pseudoaneurisma.

Palavras-chave

artéria ulnar, variação anatômica, pseudoaneurisma

Abstract

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

References

1 Gardner E, Gray D, O’Rahilly R. Anatomia. Rio de Janeiro: Guanabara Koogan S.A.; 1988. O antebraço; p. 137-8.

2 Sieg P, Jacobsen HC, Hakim SG, Hermes D. Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps. Head Neck. 2006;28(5):447-52. http://dx.doi.org/10.1002/hed.20367. PMid:16388528.

3 Hazlett J. The superficial ulnar artery with reference to accidental intra-arterial injection. Can Med Assoc J. 1949;61(3):289-93. PMid:18148099.

4 Erdil N, Colak C, Donmez K, Cihan H, Battaloglu B. Pseudoaneurysm of high origin ulnar artery after penetrating trauma. Vasc Endovascular Surg. 2010;44(7):609-12. http://dx.doi.org/10.1177/1538574410373664. PMid:20675339.

5 Funk GF, Valentino J, McCulloch TM, Graham SM, Hoffman HT. Anomalies of forearm vascular anatomy encountered during elevation of the radial forearm flap. Head Neck. 1995;17(4):284-92. http://dx.doi.org/10.1002/hed.2880170403. PMid:7672968.

6 Dartnell J, Sekaran P, Ellis H. The superficial ulnar artery: Incidence and calibre in 95 cadaveric specimens. Clin Anat. 2007;20(8):929-32. http://dx.doi.org/10.1002/ca.20546. PMid:17907204.

7 Rodríguez-Niedenführ M, Vázquez T, Nearn L, Ferreira B, Parkin I, Sañudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat. 2001;199(Pt 5):547-66. http://dx.doi.org/10.1046/j.1469-7580.2001.19950547.x. PMid:11760886.

8 D’Costa S, Shenoy BM, Narayana K. The incidence of a superficial arterial pattern in the human upper extremities. Folia Morphol. 2004;63(4):459-63. PMid:15712144.

9 Chin KJ, Singh K. The superficial ulnar artery: a potential hazard in patients with difficult venous access. Br J Anaesth. 2005;94(5):692-3. http://dx.doi.org/10.1093/bja/aei548. PMid:15814810.

10 Bhat KM, Potu BK, Gowda S. High origin of ulnar artery in South Indian male cadaver: a case report. J Med Case Rep. 2008;49(4):573-5. PMid:19050810.

11 Senanayake KJ, Salgado S, Rathnayake MJ, Fernando R, Somarathne K. A rare variant of the superficial ulnar artery, and its clinical implications: a case report. J Med Case Rep. 2007;1(1):128. http://dx.doi.org/10.1186/1752-1947-1-128. PMid:17988391.

12 Yetkin U, Gurbuz A. Post Trumatic pseudoaneurysm of the braquial artery and its surgical treatment. Tex Heart Inst J. 2003;30(4):293-7. PMid:14677739.

13 Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics. 2005;25(1, Supl. 1):S173-89. http://dx.doi.org/10.1148/rg.25si055503. PMid:16227490.
 


Submitted date:
04/09/2023

Accepted date:
09/20/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
6569e8d1a953957aa6418944 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections