European Journal of Plastic Surgery

, Volume 31, Issue 5, pp 259–262 | Cite as

Mycotic aneurysm of superficial palmar arch—treated by microvascular reconstruction

  • Dhiraj Joshi
  • Naomi Simmonds
  • Jon Simmons
  • David Floyd
Case Report


Mycotic aneurysms (MAs) are extremely rare. We report a case of MA of the superficial palmar arch in the presence of acute bacterial endocarditis of native aortic valve. The diagnosis was made by arteriography. Excision of MA with microvascular reconstruction was performed to prevent rupture of the aneurysm and possible digital ischemia. MAs of the hand can be treated successfully with surgery, in this case by excision and microvascular reconstruction. Arteriography should be routinely used to plan the surgical strategy.


Mycotic aneurysm Arteriography Superficial palmar arch Digital artery Microvascular surgery 


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Dhiraj Joshi
    • 1
  • Naomi Simmonds
    • 1
  • Jon Simmons
    • 2
  • David Floyd
    • 2
  1. 1.Department of General and Vascular SurgeryWatford General HospitalWatfordUK
  2. 2.Department of Plastic and Reconstructive SurgeryThe Royal Free HospitalLondonUK

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