Brachial artery pseudoaneurysms secondary to intravenous drug abuse represent a limb-threatening problem to patients and a technical challenge to the vascular surgeon. Here information is reported about a patient with metachronous bilateral giant brachial artery pseudoaneurysms secondary to intravenous drug use that were successfully treated with excision of the aneurysm and ligation of the brachial artery. Furthermore, a review of the current literature on the treatment of brachial artery aneurysm is presented.
World Drug Report. Vol. 1. New York, NY: United Nations Office on Drugs and Crime ; 2004.
2.
Coughlin P., Mavor A.Consequences of recreational drug use. Eur J Vasc Endovasc Surg.2006;32:389-396.
3.
Georgiadis G. , Lazarides M., Polychronidis A., et al. Surgical treatment of femoral artery infected false aneurysms in drug abusers. ANZJ Surg.2005;75:1005-1010.
4.
Behera A., Menakuru S., Jindal R.Vascular complications of drug abuse: an Indian experience. ANZJ Surg.2003; 73:1004-1007.
5.
O'Leary M.Subclavian artery false aneurysm associated with brachial plexus palsy: a complication of parenteral drug addiction. Am J Emerg Med.1990;8:129-133.
6.
Gordon R., Lowy F.Bacterial infections in drug users. N Engl J Med.2005;353:1945-1954.
7.
Del Giudice P.Cutaneous complications of intravenous drug abuse. Br J Dermatol.2004;150:1-10.
8.
Siu W., Yau K., Cheung H., et al. Management of brachial artery pseudoaneurysms secondary to drug abuse. Ann Vasc Surg.2005;19:657-661.
9.
Tsao J., Marder S., Goldstone J., et al. Presentation, diagnosis, and management of arterial mycotic pseudoaneurysms in injection drug users. Ann Vasc Surg.2002;16:652-662.
10.
Kurimoto Y. , Tsuchida Y., Saito J., et al. Emergency endovascular stent-grafting for infected pseudoaneurysm of brachial artery. Infection . 2003;31:186-188.
11.
Falco E., Celoria G., Neviani A., et al. Infected pseudoaneurysms of the upper limb: a case re-evaluation . Minerva Chir.1994;49:119-121.
12.
DeBakey M., Simeone F.Battle injuries of the arteries in Wold War II. Ann Surg.1946;123:534-579.
13.
Yellin A.Ruptured mycotic aneurysm: a complication of parenteral drug abuse. Arch Surg.1977;112:981-986.
14.
Tan Y., Tan S.Emergency ligation of the brachial artery for complications of vascular access . Br J Surg.2005; 92:244-245.
15.
Ho P., Yaremchuk M., Dellon A.Mycotic aneurysms of the upper extremity, report of two cases. J Hand Surg.1986;11:271-273.
16.
Salehian M. , Shahid N., Mohseni M., et al. Treatment of infected pseudoaneurysm in drug abusers: ligation or reconstruction?Arch Iranian Med.2006;9:49-52.
