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

• Main Authors: Ciro Paz Portinho, Joel Alex Longhi, Adriana Muradás Girardi, Amanda Prestes Valente, Carlos Francisco Jungblut, Clara Belle Manfroi Galinatti, Sérgio Ventura Gomes Júnior, Adamastor Humberto Pereira, Marcus Vinicius Martins Collares
• Format: Article
• Language: English
• Published: Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) 2015-05-01
• Series: Clinical and Biomedical Research
• Subjects: tuberous sclerosis, upper limb aneurysm, microsurgery, vein graft.
• Online Access: http://seer.ufrgs.br/hcpa/article/view/53595
• ISSN: 0101-5575; 2357-9730

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 was submitted to aneurysm resection and microsurgical reconstruction with reversed greater saphenous vein graft at the same time. She had a favorable follow-up, without neuromuscular deficits. Doppler ultrasonography has been performed for diagnosis, vein graft choosing, and postoperative follow-up. It is the opinion of the authors that such combined approach may be the routine for pediatric vascular reconstructions. Finally, this reconstruction has been rarely reported in tuberous sclerosis patients.