Abstract
A pseudoaneurysm refers to a defect in the arterial wall, allowing communication of arterial blood with the adjacent extra-luminal space. Pseudoaneurysms result from traumatic arterial injury. With the increasing utilization of percutaneous arterial interventions, iatrogenic arterial injury has become the predominant cause of pseudoaneurysm formation. Rupture of the pseudoaneurysm comprises a vascular emergency. Clinical suspicion and imaging techniques are the cornerstones of timely diagnosis and appropriate management of the condition. Herein, we report the case of a 69 year-old woman who suffered a life-threatening profunda femoral artery pseudoaneurysm rupture after a routine cardiac catheterization, that was treated surgically.
Highlights
A 69 year-old woman was admitted to our hospital for a preoperative coronary arteriography
A pseudoaneurysm is defined as a defect in the arterial wall, that allows communication of arterial blood with the adjacent extra-luminal space
The high utilization of percutaneous arterial interventions is responsible for iatrogenic arterial injury being the predominant cause of pseudoaneurysm formation [2]
Summary
A 69 year-old woman was admitted to our hospital for a preoperative coronary arteriography. She underwent an uneventfull coronary arteriography, via a 6F right femoral sheath and the usage of standard Judkins catheters, which demonstrated normal coronary arteries. About 6 hours after sheath removal, the patient experienced severe sharp pain in the right anterior femoral region, without reported numbness, tingling, or loss of voluntary movement.
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