Superficial Palmar Arch Aneurysm after Carpal Tunnel Decompression
Author Information
Author(s): S. Gull, R. A. J. Spence, W. Loan
Primary Institution: Belfast City Hospital
Conclusion
The case report describes a rare complication of a superficial palmar arch aneurysm following carpal tunnel decompression, successfully treated with endovascular coil embolization.
Supporting Evidence
- False aneurysms of the palmar arteries are rare and usually associated with traumatic injuries.
- The patient presented with a pulsatile mass at the site of previous surgery.
- Doppler ultrasound and CTA confirmed the diagnosis of a pseudoaneurysm.
- Endovascular embolization was chosen as the treatment option after discussion in a multidisciplinary meeting.
Takeaway
A man had a rare swelling in his hand after surgery, which turned out to be a problem with a blood vessel, but doctors fixed it with a special procedure.
Methodology
The diagnosis was confirmed using Doppler ultrasound and CT angiography, followed by endovascular coil embolization.
Limitations
The decision to restart warfarin may have contributed to the complication.
Participant Demographics
An 80-year-old male with a history of pulmonary embolism and ischaemic heart disease.
Digital Object Identifier (DOI)
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