Giant femoropopliteal artery aneurysm and vein rupture.
Atherosclerotic popliteal aneurysms are the most common peripheral artery aneurysms. Thrombosis, embolization, rupture, and compression of adjacent structures are well-known complications. We report a patient with a giant thigh hematoma and a pulsatile mass thought to be a ruptured popliteal artery aneurysm. It proved to be an unruptured 8.5 cm femoropopliteal aneurysm with avulsed and bleeding adjacent veins, the source of the hematoma. This constitutes the first known report of this unusual complication.
Rossi
Fabio H
FH
Vascular Surgery Departments, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil. vascular369@hotmail.com
Veith
Frank J
FJ
Lipsitz
Evan C
EC
Izukawa
Nilo M
NM
Oliveira
Lannes A V
LA
Silva
Domingos G
DG
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis; D003937:Diagnosis, Differential; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D016491:Peripheral Vascular Diseases / Q000150:complications; D011150:Popliteal Artery / Q000601:surgery; D012422:Rupture, Spontaneous; D016896:Treatment Outcome; D014680:Veins