title: Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein.
abstract: A 51-year-old female with dilated cardiomyopathy underwent a cardiac catheterization via right common femoral vein and artery. Prolonged compression with a bandage and extension of supine bed rest were needed. Immediately after standing up, she lost consciousness and developed electromechanical dissociation. The echocardiogram revealed a huge thrombus filling the main pulmonary trunk and massive enlargement of right ventricle, which suggested acute pulmonary thromboembolism (PTE). Images of computed tomography taken 2 months later detected a huge venous aneurysm of the right popliteal vein. Prolonged compression at the groin area might enhance blood stasis of the ipsilateral popliteal venous aneurysm, followed by life-threatening PTE.
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Arakawa
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Himeno
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Jin
authors.initials: J
authors.lastname: Kirigaya
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Fumie
authors.initials: F
authors.lastname: Otomo
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Nakahashi
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Shimizu
authors.affiliation: Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan.
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Endo
authors.affiliation: Division of Cardiology, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kimura
authors.affiliation: Department of Medical Science and Cardiorenal Medicine, Yokohama City University, School of Medicine, Yokohama, Kanagawa, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Umemura
keywords: femoral catheterization; pulmonary thromboembolism; venous aneurysm