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J. vasc. bras ; 14(2): 182-185, Apr.-June 2015. ilus
Article in Portuguese | LILACS | ID: lil-756474

ABSTRACT

As complicações locais de uma lesão arterial penetrante incluem hematoma, pseudoaneurisma e formação de fístula arteriovenosa. A artéria femoral profunda, por sua localização anatômica, é sede infrequente de lesões traumáticas. Relatamos um caso de paciente jovem, vítima de agressão por arma branca em face posterior de coxa, em que foi diagnosticada, tardiamente, lesão de ramo descendente da artéria femoral profunda, sendo então tratada com técnica endovascular. A revisão de literatura corrobora a raridade do caso, sendo a maioria dos casos de lesão traumática de artéria femoral profunda relatada como decorrente de complicação de procedimentos ortopédicos ou fraturas envolvendo o fêmur proximal.


The local complications of penetrating injuries involving arteries include hematoma, pseudoaneurysm and arteriovenous fistulas. Traumatic injuries to the deep femoral artery are uncommon because of its anatomic location. We report the case of a young male patient who was victim of a stab wound to the posterior thigh who was later diagnosed with an injury to the descending branch of the deep femoral artery and treated using endovascular techniques. A review of the literature confirmed the rarity of the case, since the majority of cases of traumatic injuries to the deep femoral artery that have been reported were due to complications during orthopedic procedures or fractures involving the proximal femur.


Subject(s)
Humans , Male , Young Adult , Embolization, Therapeutic/methods , Femoral Artery , Aneurysm, False/diagnosis , Aneurysm, False/therapy , Wounds, Penetrating/complications , Wounds, Penetrating/therapy , Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/therapy , Angiography/methods , Femur/injuries , Hematoma , Endovascular Procedures/methods
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