Spontaneous Transection of the Superficial Femoral Artery with Devastating Outcomes: A Case Report

Thilina Gunawardena; Manujaya Godakandage; Sachith Abeywickrama; Rezni Cassim; Mandika Wijeyaratne

doi:10.5758/vsi.210032

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저자정보: Thilina Gunawardena (University Vascular Surgical Unit National Hospital of Colombo Colombo Sri Lanka) Manujaya Godakandage (University Vascular Surgical Unit National Hospital of Colombo Colombo Sri Lanka) Sachith Abeywickrama (University Vascular Surgical Unit National Hospital of Colombo Colombo Sri Lanka) Rezni Cassim (University Vascular Surgical Unit National Hospital of Colombo Colombo Sri Lanka) Mandika Wijeyaratne (University Vascular Surgical Unit National Hospital of Colombo Colombo Sri Lanka)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.37 No.3

발행연도: 2021.9

수록면: 22 - 22 (1page)

DOI: 10.5758/vsi.210032

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Non-traumatic, simultaneous pseudoaneurysms of the bilateral superficial femoral arteries (SFAs) are extremely rare. Spontaneous transection of the SFA is another unique pathology. Here, we present a patient with end stage kidney disease who was diagnosed with bilateral, simultaneous SFA pseudoaneurysms. He had a recent history of methicillin-sensitive Staphylococcus aureus septicemia; therefore, infection was suspected to be the main cause. Complete transection of the SFA was noted during the operative exploration of the symptomatic left side. Wide debridement and autologous vein bypass were performed via a clean route. Unfortunately, two months later, recurrent surgical site infection caused distal anastomotic rupture and fatal sepsis.

#False aneurysm #Femoral artery #Spontaneous rupture #Infected aneurysm

참고문헌 (14)

참고문헌 신청

Rivera PA / Pseudoaneurysm

Levi N / 1997 / Femoral pseudoaneurysms in drug addicts / Eur J Vasc Endovasc Surg 13:361~362

Elzein F / 2019 / Miliary tuberculosis presenting as bilateral superf icial femoral artery mycotic aneurysm in an immunocompetent patient / Respir Med Case Rep 26:236~239

Carvalho PM / 2009 / Mycotic aneurysm of the femoral artery complicating Staphylococcus aureus bacteremia : a case report / Cases J 2:9386

Hussain M / 2013 / Infected pseudoaneurysm of the superficial femoral artery in a patient with Salmonella enteritidis bacteremia / Can J Infect Dis Med Microbiol 24:e24~e25

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