Ruptured mycotic common femoral artery pseudoaneurysm: fatal pulmonary embolism after emergency stent-grafting in a drug abuser.
Τίτλος | Ruptured mycotic common femoral artery pseudoaneurysm: fatal pulmonary embolism after emergency stent-grafting in a drug abuser. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Karkos, C. D., Kalogirou T. E., Giagtzidis I. T., & Papazoglou K. O. |
Journal | Tex Heart Inst J |
Volume | 41 |
Issue | 6 |
Pagination | 634-7 |
Date Published | 2014 Dec |
ISSN | 1526-6702 |
Λέξεις κλειδιά | Aneurysm, False, Aneurysm, Infected, Aneurysm, Ruptured, Blood Vessel Prosthesis Implantation, Drug Users, Emergencies, Endovascular Procedures, Fatal Outcome, Femoral Artery, Humans, Male, Middle Aged, Pulmonary Embolism, Radiography, Interventional, Substance Abuse, Intravenous |
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. |
DOI | 10.14503/THIJ-13-3882 |
Alternate Journal | Tex Heart Inst J |
PubMed ID | 25593530 |
PubMed Central ID | PMC4251337 |