ABSTRACT

A 55-year-oldmalewas presentedwith significant swelling and pain on his left upper armone month agowas admitted to our clinic. He had a history of coronary artery disease, hypertension, and percutaneous coronary intervention via his left arm, one month ago. On admission, his blood pressure was 125/85 mmHg and his heart rate was 84 beats/ min. On physical examination both radial and ulnar pulses were palpable and a large pulsatile mass was identified on his left upper arm with a systolic bruit on auscultation (Fig. 1A). Motor function deficiency and paraesthesia were not detected. The rest of the physical examination was unremarkable. Ultrasound confirmed the presence of a 10 × 12 cm brachial artery pseudoaneurysm. We decided to perform open surgery due to the high volume of hematoma. Routine preparation for surgery wasmade and informed consent was taken. Under local anesthesia, a medial longitudinal incision was performed over the pseudoaneurysm. The proximal and distal brachial artery was identified. The hematomawas extracted. The puncture injury site was identified and sutured with 6/0 running prolene suture (Fig. 1A, B). The patient had an uncomplicated postoperative period andwas discharged 2 days after the surgery. Six months later hewas doing well with stable vital signs and pulses.

Keywords: Iatrogenic Pseudoaneurysm Brachial artery