Radial artery pseudoaneurysm in a neonate with hemophilia A

Abstract

Background: Pseudoaneurysm formation is a rare complication of arterial puncture.Case characteristics: 3-week-old male developed an enlarging mass over the anterior aspect of left wrist following radial arterial puncture.Observation: Doppler ultrasonography revealed mass to be left radial arterial pseudoaneurysm. Subsequent presentation of ecchymoses and investigations confirmed factor VIII deficiency (Hemophilia A).Outcome: Pseudoaneurysm removed with primary end to end anastomosis. Patient is presently on regular factor VIII replacement therapy.Message: Hemophilia A can present as pseudoaneurysm in neonatal period.