Common femoral artery injury secondary to tennis ball strike

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Common femoral artery injury secondary to tennis ball strike Spyros N. Vasdekis, MD, PhD, John D. Kakisis, MD, Andreas M. Lazaris, MD, John G. Panayiotides, MD, Aikaterini A. Angeli, MD, Konstantinos G. Karkaletsis, MD Journal of Vascular Surgery Volume 44, Issue 6, Pages 1350-1352 (December 2006) DOI: 10.1016/j.jvs.2006.08.008 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Power Doppler scan demonstrates a tight stenosis of the right common femoral artery by a large, posterior, ulcerated atherosclerotic plaque. Journal of Vascular Surgery 2006 44, 1350-1352DOI: (10.1016/j.jvs.2006.08.008) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Duplex scan reveals a small atherosclerotic plaque in the posterior wall of the left common femoral artery without any appreciable stenosis. Journal of Vascular Surgery 2006 44, 1350-1352DOI: (10.1016/j.jvs.2006.08.008) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Digital subtraction angiography reveals subtotal occlusion of the right common femoral artery, with minimal atherosclerotic changes in the iliacs, superficial femoral, and profunda femoris arteries. Journal of Vascular Surgery 2006 44, 1350-1352DOI: (10.1016/j.jvs.2006.08.008) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative picture of the right common femoral artery after a longitudinal arteriotomy. Note the posterior plaque with the irregular surface that is protruding into the arterial lumen and causing subtotal occlusion. Journal of Vascular Surgery 2006 44, 1350-1352DOI: (10.1016/j.jvs.2006.08.008) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions