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June 17, 1974

Mycotic Aneurysm of Brachial Artery A Complication of Retrograde Catheterization

Author Affiliations

From the Department of Cardiology, Veterans Administration Hospital, Hines, III (Drs. Eshaghy and Gunnar), and the departments of medicine (Drs. Scanlon, Amirparviz, and Gunnar), cardiovascular surgery (Dr. Moran), and pathology (Dr. Erkman-Balis), Loyola University Stritch School of Medicine, Maywood, III.

JAMA. 1974;228(12):1574-1575. doi:10.1001/jama.1974.03230370056028

CARDIAC catheterization has been associated with numerous and diverse complications.1 We have recently seen a patient who developed a mycotic aneurysm, a rare entity in itself, at the site of brachial arteriotomy for catheterization of the left side of the heart.

Report of a Case  A 29-year-old white woman had a right antecubital artery cutdown for cardiac catheterization, which confirmed the presence of mild to moderate aortic stenosis and insufficiency. The arteriotomy was repaired, and at the time of hospital discharge, the radial pulse rate was normal and there was no swelling or bleeding at the cutdown site.Nine days after catheterization, pain, swelling, and bloody drainage from the cutdown site occurred. The swelling was thought to be a hematoma, for which the patient was given an analgesic and sent home. She returned the following day with the same complaint. The wound was explored and found to be clean