Femoral pseudoaneurysm from drugs of abuse: Ligation or reconstruction? Frank Padberg, MD, Robert Hobson, MD, Bing Lee, MD, Robert Anderson, MD, Joseph.

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Presentation transcript:

Femoral pseudoaneurysm from drugs of abuse: Ligation or reconstruction? Frank Padberg, MD, Robert Hobson, MD, Bing Lee, MD, Robert Anderson, MD, Joseph Manno, MD, Gary Breitbart, MD, Kenneth Swan, MD Journal of Vascular Surgery Volume 15, Issue 4, Pages 642-648 (April 1992) DOI: 10.1016/0741-5214(92)90009-W Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Patient seen 15 days after a “missed” groin injection. The accompanying mass was nonpulsatile, a bruit was present, and pedal pulses were absent. A large infected femoral pseudoaneurysm is shown. Although the SFA and PFA were normal, adequate debridement required ligation of the EIA at its origin and oversewing of the CFA bifurcation. The infected hematoma extended deep into the iliac fossa, destroyed the psoas muscle, and produced irreversible local nerve damage. Journal of Vascular Surgery 1992 15, 642-648DOI: (10.1016/0741-5214(92)90009-W) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Intraluminal thrombus (arrows) is visualized in a PTFE bypass. S. aureus was cultured from the thrombus. Distal septic embolization mandated amputation. Journal of Vascular Surgery 1992 15, 642-648DOI: (10.1016/0741-5214(92)90009-W) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 A femoral pseudoaneurysm produced an arteriovenous fistula in the presence of an occluded common femoral vein. A bruit and thrill was present. Venous hypertension began as refractory edema and a nonhealing pretibial ulcer. After aneurysm resection, the ulcer healed rapidly. Journal of Vascular Surgery 1992 15, 642-648DOI: (10.1016/0741-5214(92)90009-W) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions