Upper limb revascularization with reversed vein graft and microvascular anastomoses after brachial artery aneurysm resection in a child with tuberous sclerosis

Ciro Paz Portinho, Joel Alex Longhi, Carlos Francisco Jungblut, Clara Belle Manfroi Galinatti, Sérgio Ventura Gomes, Adamastor Humberto Pereira, Marcus Vinícius Martins Collares, Amanda Prestes Valente, Adriana Muradás Girardi
2015 Clinical and Biomedical Research  
The authors present an unusual case of a 3-year-old girl who was diagnosed with a fast-growing brachial aneurysm due to tuberous sclerosis. The patient underwent aneurysm resection and microsurgical reconstruction with reversed greater saphenous vein graft at the same time. She had a favorable outcome, without neuromuscular deficits. Doppler ultrasonography was performed for diagnosis, vein graft selection, and postoperative follow-up. The authors believe that such combined approach may be the
more » ... outine for pediatric vascular reconstructions. Finally, this reconstruction has been rarely reported in tuberous sclerosis patients.
doi:10.4322/2357-9730.53595 fatcat:xy4yvcvoijeujnjgduluuycfhu