title: Management of a complicated ruptured infected pseudoaneurysm of the femoral artery in a drug addict.
abstract: Infected pseudoaneurysm of the femoral artery represents a devastating complication of intravenous drug abuse, especially in the event of rupture. Operative strategy depends upon the extent of arterial injury and the coexistence of infection or sepsis. Options range from simple common femoral artery (CFA) ligation to complex arterial reconstruction with autologous grafts (arterial, venous, or homografts). We report herein the management of a 29-year-old male patient who was urgently admitted with a ruptured pseudoaneurysm of the right CFA, extending well above the inguinal ligament. Multidisciplinary approach with multiple arterial reconstructions and subsequent coverage of the tissue defect with a rectus abdominis musculocutaneous flap transposition was performed.
authors.affiliation: Second Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11427 Athens, Greece.
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Psathas
authors.forename: Stella
authors.initials: S
authors.lastname: Lioudaki
authors.forename: Fotios-Filippos
authors.initials: FF
authors.lastname: Karantonis
authors.forename: Petros
authors.initials: P
authors.lastname: Charalampoudis
authors.forename: Othon
authors.initials: O
authors.lastname: Papadopoulos
authors.forename: Chris
authors.initials: C
authors.lastname: Klonaris