ABSTRACT
An 83-year-old female patient with a history of prior endovascular treatment to repair an abdominal aortic aneurysm presented with intense pain and edema in the left leg, with hyperemia and localized temperature increase. Doppler ultrasonography revealed a voluminous aneurysm of the popliteal artery with a contained rupture, and hematoma involving the popliteal fossa and the medial and anterior surfaces of the knee causing compression of the popliteal vein. Endovascular repair was accomplished with covered stents and the rupture was confirmed. during the procedure The aneurysm was excluded and the signs and symptoms it had caused resolved completely, but during the postoperative period the patient developed sepsis of pulmonary origin and died.
Mulher de 83 anos, com tratamento endovascular prévio de aneurisma de aorta abdominal, iniciou com quadro de dor intensa e edema de perna esquerda, evoluindo com hiperemia e calor local. Ao exame eco-Doppler, apresentou aneurisma volumoso de artéria poplítea roto contido, com hematoma abrangendo fossa poplítea, nas faces medial e anterior de joelho, causando compressão da veia poplítea. Durante a correção endovascular com stent recoberto, foi confirmada a presença de rotura do aneurisma. O aneurisma foi excluído e a paciente teve regressão completa dos sinais e sintomas decorrentes dele; porém, evoluiu no pós-operatório com sepse de origem pulmonar e óbito.
Subject(s)
Humans , Female , Aged, 80 and over , Aneurysm, Ruptured/surgery , Aneurysm, Ruptured/etiology , Popliteal Artery/surgery , Drug-Eluting Stents , Lower Extremity , Endovascular Procedures/methodsABSTRACT
We report a 71 years old male with high blood pressure. During the postoperative follow up after a prostatectomy for a benign prostate hyperplasia, a pulsatile mass was palpated in the left inguinal region. A chest, abdomen and lower limb AngioTC, disclosed a unique sacular aneurysm in the left common femoral artery. The patient was subjected to a surgical excision of the aneurysm, with a favorable postoperative evolution.
Se comunica el caso de un paciente de 71 años, de sexo masculino, hipertenso, a quien en el postoperatorio de prostatectomia por hiperplasia benigna de la próstata, le fue palpada una masa pulsátil inguinal izquierda. La AngioTAC mostró una dilatación sacular única de la arteria femoral común, la que fue resecada con éxito.