Derin Ven Trombozuna Neden Olan Derin Femoral Arter Psödoanevrizması

Authors : Cem ARITÜRK, Cem ATİK, Yusuf KUSERLİ

Pages : 119-120

View : 35 | Download : 20

Publication Date : 2015-06-01

Article Type : Other Papers

Abstract :Pseudoaneurysms develop by vascular wall injury and blood extravasation due to surgical intervention, infection and trauma etc. which results blood accumulation surrounding the vasculature72 years male patient admitted to our hospital’s internal medicine clinic 1 week ago with fatigue continuing for two weeks. He was hospitalised with anemia 4g/dl haemoglobin diagnosis. In the 7th day of hospitalisation we consulted him as swelling and pain of left lower extremity began. We learned that he had had a trauma 4 weeks before hospitalisation. He has clinical symptoms of deep venous thrombosis DVT . As we performed a venous and arterial doppler ultrasonography DVT and deep femoral arterial pseudoaneurysm was diagnosed. The anatomical properties of the pseudoaneurysm was described by contrasted computed tomography of the left lower extremity. He then was operated emergently under general anesthesia. Pseudoaneurysmectomy and deep femoral artery interposition with dacron greft was performed. The patient was discharged at the postoperative day 12. Deep femoral arterial pseudoaneurysms are rare and usually is because of trauma to the extremity. Rupture is also rare and emergent surgery is required when occurs. The patient’s pseudoaneurysm -we handled- was probably ruptured 7 or 8 days ago just before he admitted to the hospital. We are presenting the case as it is rare by it’s clinical presentation
Keywords : pseudoaneurysm, deep venous thrombosis, emergent surgery