PMC5368876_01
A very large mass in the left arm.
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At admission, a clinical examination revealed that pain and functional impairment were absent, whereas a radial pulse was present; moreover, a large expansible mass (diameter about 15 cm) was located in the antero-medial region of the left arm (Fig. 1).
Incision along the medial bicipital groove on the left arm.
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For surgery, an incision was made along the medial bicipital groove on the left arm (Fig. 2), and the axillary and brachial arteries upstream and downstream of the aneurysm were isolated.
Specimen of the dissected aneurysm after aneurysmectomy.
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After aneurysmectomy (Fig. 3), the humeral artery was reconstructed.