RESEARCH ARTICLE


Life-threatening Rupture of a Femoral Pseudoaneurysm after Cardiac Catheterization



Emmanouil Petrou1, *, Ioannis Malakos1, Stamatina Kampanarou2, Nikolaos Doulas3, Vassilis Voudris1
1 Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece
2 Imaging Department, Onassis Cardiac Surgery Center, Athens, Greece
3 Department of Vascular Surgery, Metropolitan Hospital, Athens, Greece


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Creative Commons License
© Petrou et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Correspondence: Address correspondence to this author at the Division of Cardiology, Onassis Cardiac Surgery Center, 356 Sygrou Ave., GR-17674, Kallithea-Athens, Greece; Tel: +302109493000; Fax: +302102751028; E-mail: emmgpetrou@hotmail.com


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.

Keywords: Catheterization, Duplex ultrasonography (DUS), Judkins catheters, Pseudoaneurysm, Therapeutic endovascular interventions.