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KMID : 0357019950110020311
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Journal of the Korean Vascular Surgery Society
1995 Volume.11 No. 2 p.311 ~ p.315
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Congenital Brachial Artery Aneurysm in a Child
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Abstract
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Aneurysms occurring in children are rare and usually associated with arteritis, congenital cardiovascular disease, or connective tissue disorders.
Genuine "congenital aneurysm" is that, true aneurysm should be present at birth, and it is extraordinary rare.
Most so-called aneurysms are vascular malformations with extensive arteriovenous communications and formation of dilated venous sac, which are often referred to as "cirsoid aneurysms .
If an aneurysm appears at an early age, and there is no history of trauma, systemic infection, or pregnancy, it is often referred to congenital aneurysm.
However, there are many conditions where development defects and weakness of arterial wall result in the formation of aneurysm in later life ; which is often difficult in such case to identify the responsible congenital factor.
Nevertheless, most saccular aneurysms occurring in childhood or early adult life cannot be explained on the basis of known defects in connective tissue, although there may be unrecognized trauma or inflammatory disease in some cases.
Aneurysms occurring in children are rare, and solitary aneurysm exclusively affecting in the arteries of the upper limb in child is even more rare.
We present a case of a 4 year-old female with a rare, solitary, saccular brachial artery aneurysm in right limb in the presence of an otherwise normal arterial tree without recognizable trauma or inflammation.
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