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CardioVascular and Interventional Radiology

, Volume 30, Issue 6, pp 1238–1241 | Cite as

Emergency Stenting of a Ruptured Infected Anastomotic Femoral Pseudoaneurysm

  • Chris KlonarisEmail author
  • Athanasios Katsargyris
  • Alexandros Matthaiou
  • Athanasios Giannopoulos
  • Chris Tsigris
  • Katerina Papadopouli
  • Sotiris Tsiodras
  • Elias Bastounis
Case Report

Abstract

A 74-year-old man presented with a ruptured infected anastomotic femoral pseudoaneurysm. Due to severe medical comorbidities he was considered unsuitable for conventional surgical management and underwent an emergency endovascular repair with a balloon-expandable covered stent. The pseudoaneurysm was excluded successfully and the patient had an uneventful postoperative recovery with long-term suppressive antimicrobials. He remained well for 10 months after the procedure with no signs of recurrent local or systemic infection and finally died from an acute myocardial infarction. To our knowledge, emergency endovascular treatment of a free ruptured bleeding femoral artery pseudoaneurysm has not been documented before in the English literature. This case illustrates that endovascular therapy may be a safe and efficient alternative in the emergent management of ruptured infected anastomotic femoral artery pseudoaneurysms when traditional open surgery is contraindicated.

Keywords

Emergency stenting Femoral pseudoaneurysm Infection Rupture 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Chris Klonaris
    • 1
    • 3
    Email author
  • Athanasios Katsargyris
    • 1
  • Alexandros Matthaiou
    • 1
  • Athanasios Giannopoulos
    • 1
  • Chris Tsigris
    • 1
  • Katerina Papadopouli
    • 1
  • Sotiris Tsiodras
    • 2
  • Elias Bastounis
    • 1
  1. 1.1st Department of Surgery, Vascular Division“LAIKON” Hospital, Athens University Medical SchoolAthensGreece
  2. 2.4th Academic Department of Internal MedicineAttikon Hospital, Athens University Medical SchoolAthensGreece
  3. 3.PsihicoGreece

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