血管医学および外科ジャーナル

概要

Open Rupture of Anastomotic Pseudoaneurysm of the Femoral Artery

Yu Shomura, Koji Onoda

A 65-year-old woman presented at our hospital with a skin ulcer and blood oozing from a pulsatile tumor of the left groin. Six years previously she had been treated with an abdominal aorta-left superficial femoral artery bypass using an artificial graft to manage an infected right to left femoro-femoral bypass graft. Computed tomography imaging revealed a ruptured left superficial femoral artery with an anastomotic pseudoaneurysm.
We found during surgery that the original abdominal aorta-left superficial femoral artery bypass graft had become completely detached from the superficial femoral artery. We incised the aneurysm and then resected the hematoma and the ulcerated necrotic skin lesion. The same portion of the artificial graft was resected and partially replaced with the ipsilateral saphenous vein.