Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2015 , Vol 6, Issue 2
The Deep Venous Thromboembolism Due To Femoral Artery Pseudoaneurysm
Cem Arıtürk1, Cem Atik2, Yusuf Kuserli3
1Acıbadem Sağlık Grubu, Kadıköy Hastanesi, Kardiyovasküler Cerrahi, İstanbul, Türkiye
2Osmaniye Özel Yeni Hayat Hastanesi, Kardiyovasküler Cerrahi, İstanbul, Türkiye
3Acıbadem Sağlık Grubu İnternational Hastanesi, Kardiyovasküler Cerrahi, İstanbul, Türkiye
Pseudoaneurysms develop by vascular wall injury and blood extravasation due to surgical intervention, infection and trauma etc. which results blood accumulation surrounding the vasculature

72 years male patient admitted to our hospitals 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 patients 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 its clinical presentation. Keywords : pseudoaneurysm, deep venous thrombosis, emergent surgery