[Pseudoaneurysm in the femoral artery after repeated hip surgery--combined thrombolytic and surgical treatment].
Pseudoaneurysms in the femoral artery seldom occur spontaneously. Commonly they occur secondarily to trauma or as a complication to surgery or angiography. This study reports the occurrence of a pseudoaneurysm in the left common femoral artery. The patient, a 54-year-old woman, had undergone leftsided hip replacement five years before and several subsequent operations on the left hip due to dislocation and loose cup. She was admitted with a palpable non-pulsating mass in her left inguinal region and pain and cyanosis in her left lower limb. Ultrasound and angiography showed a pseudoaneurysm with occlusion of the popliteal, the tibial, and the peroneal arteries. The patients was successfully treated with actilysis for 48 hours and subsequent vascular surgery.
Akgül
Cengiz
C
Centralsygehuset Esbjerg Varde, parenkymkirurgisk afdeling. cengiz@dadlnet.dk
Hansen
Lene Guldberg
LG
Jonung
Torbjørn Jon A
TJ
Thomassen
Niels
N
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D015912:Thrombolytic Therapy