title: Emergency stenting of a ruptured infected anastomotic femoral pseudoaneurysm.
abstract: A 74-year-old man presented with a ruptured infected anastomotic femoral pseudoaneurysm. Due to severe medical comorbidities he was considered unsuitable for conventional surgical management and underwent an emergency endovascular repair with a balloon-expandable covered stent. The pseudoaneurysm was excluded successfully and the patient had an uneventful postoperative recovery with long-term suppressive antimicrobials. He remained well for 10 months after the procedure with no signs of recurrent local or systemic infection and finally died from an acute myocardial infarction. To our knowledge, emergency endovascular treatment of a free ruptured bleeding femoral artery pseudoaneurysm has not been documented before in the English literature. This case illustrates that endovascular therapy may be a safe and efficient alternative in the emergent management of ruptured infected anastomotic femoral artery pseudoaneurysms when traditional open surgery is contraindicated.
authors.affiliation: 1st Department of Surgery, Vascular Division, LAIKON Hospital, Athens University Medical School, 17 Ag. Thoma Street, 11527 Athens, Greece. chris_klonaris@yahoo.com
authors.forename: Chris
authors.initials: C
authors.lastname: Klonaris
authors.forename: Athanasios
authors.initials: A
authors.lastname: Katsargyris
authors.forename: Alexandros
authors.initials: A
authors.lastname: Matthaiou
authors.forename: Athanasios
authors.initials: A
authors.lastname: Giannopoulos
authors.forename: Chris
authors.initials: C
authors.lastname: Tsigris
authors.forename: Katerina
authors.initials: K
authors.lastname: Papadopouli
authors.forename: Sotiris
authors.initials: S
authors.lastname: Tsiodras
authors.forename: Elias
authors.initials: E
authors.lastname: Bastounis
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D003287:Contrast Media; D004630:Emergencies; D017809:Fatal Outcome; D005263:Femoral Artery; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media