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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.

clinical and biomedical research

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