Ischemic brachial artery entrapment syndrome by supracondylar humeral bony spur Narendranadh Meda, MBBS, MS, DNB(Vasc), Himanshu Verma, MBBS, MS, FEVS,

Slides:

Advertisements

Similar presentations

Arterial injuries in the thoracic outlet syndrome

Advertisements

Two case presentations and surgical management of Bow Hunter's syndrome associated with bony abnormalities of the C7 vertebra Victoria Lee, BS, Thomas.

Result of bypass grafting for upper limb ischemia

Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J

Brachial plexus and nerves of the upper limb

Transposition of the persistent sciatic artery for lower limb revascularization after resection of an embolizing proximal sciatic artery aneurysm Rudolf.

Mohammed Al-Omran, MD, MSc Journal of Vascular Surgery

Todd M. Gerkin, MD, Hugh G. Beebe, MD, David M. Williams, MD, Jess R

Dustin D. Lucarelli, MD, Aswath Subram, MD

Aortic arch involvement worsens the prognosis of type B aortic dissections R. James Valentine, MD, Julia M. Boll, MD, Kyle M. Hocking, PhD, John A. Curci,

Hari R. Kumar, MD, Mark K. Eskandari, MD

Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J

Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks Kimberly Evans, MD, Anne C. Kim, MD, William C.

Severe bilateral renal artery stenosis after transluminal radiofrequency ablation of renal sympathetic nerve plexus Abhilash P. Chandra, MBBS (Hons),

Suboccipital approach to the distal vertebral artery

Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery Gregory Bain, F.R.A.C.S., Ph.D., Prince Gupta,

IP163. Coil Embolization in 3D Models

Endovascular repair of tortuous recurrent femoral-popliteal aneurysm in a patient with Loeys-Dietz syndrome Sophie Wang, BS, Amber Kernodle, MD, MPH,

Surgical Resection of a Giant Coronary Aneurysm

Arterial injuries in the thoracic outlet syndrome

Jarod McAteer, MD, Robert Ricca, MD, Kaj H. Johansen, MD, PhD, Adam B

Lower extremity compartment syndrome after elective percutaneous fenestrated endovascular repair of an abdominal aortic aneurysm John F. Charitable,

Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique Tariq Almerey, MD, W. Andrew Oldenburg,

Matthew P. Sweet, MD Journal of Vascular Surgery

Surgical management of a symptomatic extracranial internal carotid artery aneurysm and coexisting carotid body tumor Qusai Al-Jarrah, MBBS, MD, Mohammed.

Contemporary management of symptomatic primary aortic mural thrombus

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Manuel Caceres, MD, Natalia O. Glebova, MD, PhD

Alberto Caggiati, MD, PhD Journal of Vascular Surgery

Ruth Ellen Jones, MD, Jessica Lee, BA, Mujtaba M. Ali, MD

Ruptured ovarian artery aneurysm: A case report

Functional popliteal artery entrapment syndrome: A poorly understood and often missed diagnosis that is frequently mistreated William D. Turnipseed,

Carotid artery entrapment by the hyoid bone

A rare case of familial carotid body tumor in a patient with bilateral fibromuscular dysplasia Daniel K. Han, BA, Eric W. Fishman, MD, Maggie H. Walkup,

Hand-arm vibration syndrome: A rarely seen diagnosis

Ioana Antonescu, MD, MSc, Katharine L. McGinigle, MD, Jason R

Regarding “The anatomy of the small saphenous vein: Fascial and neural relations, saphenofemoral junction, and valves” Alberto Caggiati, MD Journal.

Suboccipital approach to the distal vertebral artery

Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome Anna E. Boniakowski,

Customized endovascular repair of common iliac artery aneurysms

Stylocarotid artery syndrome

Unusual etiology of upper extremity ischemia in a scleroderma patient: Thoracic outlet syndrome with arterial embolization Beate Hugl, MD, W. Andrew.

A morphologic study of chronic type B aortic dissections and aneurysms after thoracic endovascular stent grafting Kai-xiong Qing, MBBS, MMed, Wai-ki.

Diagnosis and treatment of arterial-ureteric fistula

Transposition of the persistent sciatic artery for lower limb revascularization after resection of an embolizing proximal sciatic artery aneurysm Rudolf.

LEA 20. Aneurysm of Persistent Sciatic Artery With Acute Lower Limb Ischemia—Hybrid Approach in Management Roshan Rodney S., MBBS, MS, DNB, K.N. Nagabhushan,

Endovascular repair of extent I thoracoabdominal aneurysms with landing zone extension into the aortic arch and mesenteric portion of the abdominal aorta

Bilateral popliteal artery aneurysms in a young man with Loeys-Dietz syndrome Matthew Alexander Stephenson, MBBS, MSc, FRCS(Gen Surg), Ioannis Vlachakis,

Charles E. Fields, MD, Thomas C. Bower, MD Journal of Vascular Surgery

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome Anna E. Boniakowski,

Reviewer Acknowledgment

Complete robotic repair of a renal artery aneurysm

Spontaneous carotid dissection: Duplex scanning in diagnosis and management Todd F. Early, MD, Roger T. Gregory, MD, Jock R. Wheeler, MD, Stanley O. Snyder,

Intrathoracic carotid bifurcation in Klippel-Feil syndrome

Endovascular repair of an acute blunt popliteal artery injury

Giant popliteal aneurysm presenting with foot drop

Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results” John B. Chang, MD,

Robert J. Rizzo, MD, William R. Flinn, MD, James S. T

R. Jason VonDerHaar, MD, Aamir Shah, MD, Nicholas N

R. Jason VonDerHaar, MD, Aamir Shah, MD, Nicholas N

Popliteal artery entrapment: Diagnosis by computed tomography

William E. Evans, M.D., James P. Hayes, M.S.

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Popliteal entrapment syndrome: A report of tibial nerve entrapment

Ischemic brachial artery entrapment syndrome by supracondylar humeral bony spur Narendranadh Meda, MBBS, MS, DNB(Vasc), Himanshu Verma, MBBS, MS, FEVS,

Surgical repair of left internal jugular phlebectasia

Rotational vertebral artery occlusion secondary to completely extraosseous vertebral artery Rachel Rendon, BS, Kristyn Mannoia, MD, Steven Reiman, MD,

Rotational vertebral artery occlusion secondary to completely extraosseous vertebral artery Rachel Rendon, BS, Kristyn Mannoia, MD, Steven Reiman, MD,

Thrombus volume is similar in patients with ruptured and intact abdominal aortic aneurysms Jonathan Golledge, MChir, FRACS (Vasc), FRCS, Vikram Iyer,

Presentation transcript:

Ischemic brachial artery entrapment syndrome by supracondylar humeral bony spur Narendranadh Meda, MBBS, MS, DNB(Vasc), Himanshu Verma, MBBS, MS, FEVS, Ramesh K. Tripathi, MD, FRCS, FRACS Journal of Vascular Surgery Cases Volume 1, Issue 2, Pages 116-119 (June 2015) DOI: 10.1016/j.jvsc.2015.03.009 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Three-dimensional reconstruction of a computed tomography angiogram of the left upper limb shows the hook-like supracondylar spur from humerus (white arrow). Distal thrombus in the brachial artery can be seen as irregularity in luminogram (red arrow). Journal of Vascular Surgery Cases 2015 1, 116-119DOI: (10.1016/j.jvsc.2015.03.009) Copyright © 2015 The Authors Terms and Conditions

Fig 2 a, Normal anatomic relation of the brachial artery and the median nerve to the two heads of the pronator teres muscle. The artery and nerve lie lateral to the humeral head of the pronator teres in the cubital fossa. After bifurcation, the ulnar artery exits the fossa behind the ulnar head of the pronator teres, and the median nerve exits the cubital fossa between the two heads of the muscle. b, In our patient, the brachial artery and median nerve were entrapped cranially in the hook-shaped supracondylar spur. The abnormally high insertion of the pronator teres humeral head also caused long segment entrapment of the neurovascular bundle. c, Surgical dissection of the humeral head of the pronator teres muscle shows the entrapped brachial artery (red loop) and the median nerve (blue loop). Journal of Vascular Surgery Cases 2015 1, 116-119DOI: (10.1016/j.jvsc.2015.03.009) Copyright © 2015 The Authors Terms and Conditions

Fig 3 Operative steps. The hook-like bony spur (black arrow) encases the median nerve (blue loops) and the brachial artery (red loops). Journal of Vascular Surgery Cases 2015 1, 116-119DOI: (10.1016/j.jvsc.2015.03.009) Copyright © 2015 The Authors Terms and Conditions