Pseudoaneurysm of the brachial artery in an infant due to vaccination: a case report.

Autor: Shi HF; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, 310003, China., Yuan S; Department of Echocardiography and Vascular Ultrasound Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China., Liang KJ; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, 310003, China., Ye P; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, 310003, China., Yang H; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, 79# Qingchun Road, Hangzhou, 310003, China. yanghu1107@zju.edu.cn.
Jazyk: angličtina
Zdroj: BMC pediatrics [BMC Pediatr] 2023 Jan 05; Vol. 23 (1), pp. 9. Date of Electronic Publication: 2023 Jan 05.
DOI: 10.1186/s12887-022-03793-2
Abstrakt: Background: Pseudoaneurysm is a known complication of penetrating arterial injuries such as catheterization, gunshot wounds, and open fractures. Vaccination is an effective method for preventing multiple, serious, infectious diseases in children. Common adverse reactions related to vaccination include fever, swelling, redness, and pain. Brachial pseudoaneurysm after vaccination has not been previously reported.
Case Presentation: Herein we describe a novel case of brachial pseudoaneurysm after vaccination in a child aged 1 year and 3 months. A pulsatile mass was formed in the medial left arm of the infant 10 days after vaccination at a community hospital and gradually grew larger. Preoperative images depicted an eccentric aneurysm in the brachial artery and a swirling flow pattern in the mass. The pseudoaneurysm was excised, and vein graft interpositioning was successfully performed. There were no short-term or long-term complications during the follow-up period.
Conclusions: Brachial pseudoaneurysm is a rare complication of vaccination via intramuscular injection. Medical staff should avoid puncture wounds to the brachial artery during vaccination, especially in infants.
(© 2023. The Author(s).)
Databáze: MEDLINE
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