title: Ruptured mycotic common femoral artery pseudoaneurysm: fatal pulmonary embolism after emergency stent-grafting in a drug abuser.
abstract: The rupture of a mycotic femoral artery pseudoaneurysm in an intravenous drug abuser is a limb- and life-threatening condition that necessitates emergency intervention. Emergency stent-grafting appears to be a viable, minimally invasive alternative, or a bridge, to subsequent open surgery. Caution is required in cases of suspected concomitant deep vein thrombosis in order to minimize the possibility of massive pulmonary embolism during stent-grafting, perhaps by omitting stent-graft postdilation or by inserting an inferior vena cava filter first. We describe the emergency endovascular management, in a 60-year-old male intravenous drug abuser, of a ruptured mycotic femoral artery pseudoaneurysm, which was complicated by a fatal pulmonary embolism.
authors.forename: Christos D
authors.initials: CD
authors.lastname: Karkos
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Kalogirou
authors.forename: Ioakeim T
authors.initials: IT
authors.lastname: Giagtzidis
authors.forename: Konstantinos O
authors.initials: KO
authors.lastname: Papazoglou
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D055030:Drug Users; D004630:Emergencies; D057510:Endovascular Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D015641:Radiography, Interventional; D015819:Substance Abuse, Intravenous / Q000150:complications*
keywords: Aneurysm, false; aneurysm, infected/surgery; aneurysm, ruptured; blood vessel prosthesis implantation; combined modality therapy; debridement; disease management; endovascular repair; femoral artery/surgery; mycosis; sequelae; substance abuse, intravenous/complications