title: Massive pulmonary embolism secondary to longstanding traumatic femoropopliteal pseudoaneurysm associated with arteriovenous fistula.
abstract: Pulmonary embolism is a common clinical condition associated with high mortality.The majority of pulmonary emboli originate from deep venous thrombosis in the popliteal and femoral veins.We present a rare case of a 21-year-old caucasian male patient with massive pulmonary embolism. The source of emboli originated from thrombosed femoropopliteal pseudoaneurysm associated with arteriovenous fistula which was caused by a bullet injury 7 years before. The patient underwent successful surgical pulmonary embolectomy followed by aneurysmectomy with reconstruction of femoral and popliteal vessels.
authors.affiliation: Department of Cardiac Surgery, Ramallah and Makassed Hospital, Mount of olives, 91194 Jerusalem, Israel. darwaz30@hotmail.com.
authors.forename: Ahmad K
authors.initials: AK
authors.lastname: Darwazah
authors.forename: Mohammed
authors.initials: M
authors.lastname: Eida
authors.forename: Hamad
authors.initials: H
authors.lastname: Madi
authors.forename: Issa
authors.initials: I
authors.lastname: Khdour
authors.forename: Naser
authors.initials: N
authors.lastname: Hanbali
authors.forename: Hasan
authors.initials: H
authors.lastname: Ismail
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000150:complications*; D001164:Arteriovenous Fistula / Q000150:complications*; D017128:Embolectomy; D005263:Femoral Artery / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D011655:Pulmonary Embolism / Q000209:etiology*; D014948:Wounds, Gunshot / Q000150:complications; D055815:Young Adult