DÄ internationalArchive4/2021Clinical snapshot “Volleyball” Aneurysm of the Posterior Circumflex Humeral Artery

Clinical Snapshot

Clinical snapshot “Volleyball” Aneurysm of the Posterior Circumflex Humeral Artery

Dtsch Arztebl Int 2021; 118: 48. DOI: 10.3238/arztebl.m2021.0091

Bischoff, M S; Böckler, D; Geisbüsch, P

LNSLNS

A 34-year-old male patient, a volleyball player, exhibited aneurysm embolization of the posterior circumflex humeral artery (PCHA; white asterisk). Since the patient initially presented with acute ischemia of the hand, surgical treatment by means of embolectomy was necessary. Although PCHA aneurysms are on the whole extremely rare, they are typical in overhead athletes, such as volleyball players. The most likely pathomechanism involves hyperabduction, external rotation, and extension of the shoulder in the above-mentioned group, leading to artery compression and potentially to subsequent aneurysm formation. A superimposed thrombus may be “milked out” and embolize. For the young, active patient, the decision was taken to perform open surgical aortic repair by proximal/distal ligation. The patient was discharged 5 days postoperatively and has since resumed regular sports activities.

Angiographic visualization of the aneurysm (white asterisk) of the right posterior circumflex humeral artery (PCHA).
Figure
Angiographic visualization of the aneurysm (white asterisk) of the right posterior circumflex humeral artery (PCHA).

PD Dr. med. Moritz S. Bischoff, Prof. Dr. med. Dittmar Böckler,
Prof. Dr. med. Philipp Geisbüsch,
Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, moritz.bischoff@med.uni-heidelberg.de

Conflict of interest statement: The authors declare that no conflict of interest exists.

Translated from the original German by Christine Rye.

Cite this as: Bischoff MS, Böckler D, Geisbüsch P: “Volleyball” aneurysm of the posterior circumflex humeral artery. Dtsch Arztebl Int 2021; 118: 48. DOI: 10.3238/arztebl.m2021.0091

Angiographic visualization of the aneurysm (white asterisk) of the right posterior circumflex humeral artery (PCHA).
Figure
Angiographic visualization of the aneurysm (white asterisk) of the right posterior circumflex humeral artery (PCHA).