Emergency balloon sealing of a ruptured giant anastomotic aneurysm of the groin.
An 85-year-old patient presented with a giant pseudo-aneurysm in the groin fifteen years after placement of an aortobifemoral graft (ABG). The pseudo-aneurysm was expanding rapidly. To prevent massive haemorrhage an inflatable balloon was inserted into the native distal aorta. The balloon was inserted via the contralateral groin. After inflation, the pseudo-aneurysm was safely excluded by the interposition of a new prosthetic segment between the left prosthetic branch of the ABG and the common femoral artery. This technique, which has been used for more than 50 years in several other indications, is an elegant method to minimise blood loss in the treatment of large pseudoaneurysms of the groin.
D'Hondt
M
M
Department of Vascular and Thoracic Surgery, AZ Groeninge Hospital, Kortrijk, Belgium. mathieudhondt2000@yahoo.com
Van Lysebeth
L
L
De Smul
G
G
Wallaert
P
P
Ceuppens
H
H
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D021721:Balloon Occlusion; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004632:Emergency Medical Services; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006119:Groin; D006801:Humans; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures