title: Fibromuscular dysplasia of the brachial artery associated with unilateral clubbing.
abstract: A 46-year old male patient was admitted with a history of an extremely painful right upper arm, associated with unilateral clubbing. Duplex scanning and magnetic resonance imaging were suggestive of a pseudo-aneurysm of the brachial artery. Digital angiography showed an irregular brachial artery, associated with a small pseudo-aneurysm. The brachial artery was partially resected and reconstructed with a venous interposition graft. Pathological examination provided the final diagnosis of fibromuscular dysplasia. Although more encountered in women, this case report describes the occurrence of fibromuscular dysplasia in an unusual location in a male patient with a long-term follow-up.
authors.affiliation: Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Edegem, Belgium. mizziedewaele@hotmail.com
authors.forename: Michèle
authors.initials: M
authors.lastname: De Waele
authors.forename: Patrick
authors.initials: P
authors.lastname: Lauwers
authors.forename: Jeroen
authors.initials: J
authors.lastname: Hendriks
authors.forename: Paul
authors.initials: P
authors.lastname: Van Schil
mesh_terms: D000792:Angiography; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D005352:Fibromuscular Dysplasia / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D005385:Fingers / Q000002:abnormalities / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009264:Nails, Malformed / Q000175:diagnosis* / Q000503:physiopathology; D010004:Osteoarthropathy, Primary Hypertrophic; D011237:Predictive Value of Tests; D012039:Regional Blood Flow; D014034:Toes / Q000002:abnormalities / Q000503:physiopathology; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014680:Veins / Q000637:transplantation