Medina RA, González BC, Hernández PM, Perulena LC, Pérez MLM, Satorre LMK, García AA, González MN

Language: Spanish
References: 8
Page: 104-108
PDF size: 444.64 Kb.

ABSTRACT

Pseudoaneurysm is that pulsatile and encapsulated hematoma produced after the rupture of all vessel layers and contained by surrounding neighboring tissues. It is considered a late complication in aorto-iliac prosthetic surgery. We present a 72-year-old patient who underwent an aorto-bifemoral bypass grafting 13 years ago, and who was subsequently diagnosed with a para-anastomotic pseudoaneurysm that was allowed to evolve due to presenting several associated comorbidities. After two years, it was necessary to perform a surgical intervention due to the excessive growth of the swelling, and ischemic complication with skin necrosis. The appearance of a pseudoaneurysm is related to sex, prosthetic material as well as the time that elapses since the surgery. Ultrasound follow-up during the postoperative period is essential for an early identification of this complication.

REFERENCES

1. Castillo Yujra BJ, Herbas Bernal RI, Panozo Borda SV, Caero Herbas L, Zegarra Santiesteban W, Ricaldez Muñoz R. Pseudoaneurisma crónico de la arteria femoral izquierda secundaria a trauma. Presentación de un caso. Gac Med Bol. 2012;35(2):84-6.

2. Valdés Dupeyrón O, Mejides Díaz R, Cruz Martínez A, Suárez Rivero A, Zambrano Vásquez KB, Zambrano Parrales AL. Tratamiento quirúrgico de un pseudoaneurisma de la arteria femoral derecha posterior a cateterismo cardíaco. CorSalud [Internet]. 2016 [citado 13 Dic 2019];8(3):189-93. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/141/333

3. Marisio G, Schalper K, Quintana J, Urrea R. Falso aneurisma de la aorta abdominal. Rev Chil Cir. 2004;56(5):481-5.

4. López García D, González González ME, Tagarro Villalba S, González Arranz MA, García Gimeno M, Rodríguez Camarero S. Pseudoaneurismas arteriales secundarios a fractura de fémur: opciones terapéuticas. Angiología. 2015;67(5):415-7.

5. Cobas Díaz O, Roselló Pérez L, Gonzáles Expósito A. Pseudoaneurisma de la arteria humeral. CCM [Internet]. 2013 [citado 14 Dic 2019];17(1). Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/788/257

6. Bretón Gutiérrez MA, Zaldívar Reyna O, Parra Soto I, Pérez García R, Uribe Pineda J. Falso aneurisma gigante de arteria iliaca externa izquierda. Reporte de un caso. Rev Hosp Jua Mex. 2000;67(1):3-10.

7. Ricotta JJ. Para-anastomotic aortic aneurysms: General considerations and techniques. En: Ascher E, Veith FJ, Gloviczki P, eds. Haimovici's Vascular Surgery. 6ª ed. Oxford: Wiley-Blackwell; 2012. p. 612-24.

8. Lenartova M, Tak T. Iatrogenic pseudoaneurysm of femoral artery: case report and literature review. Clin Med Res. 2003;1(3):243-7.