Superficial Femoral Artery Thrombosis After Midshaft Femoral Fracture Fixation With an Intramedullary Nail: A Case Report

@#Intramedullary nailing is the preferred method of closed shaft fracture fixation of long bones. One of the most dreaded complications to occur following internal fixation of a lower limb fracture is pseudo- or false aneurysm which can lead to the loss of the limb due to acute ischemia. This diagnosis is made by contrast angiogram of the limb. Pointers to the diagnosis include absent distal limb pulsation as well as other signs of acute ischemia post trauma or surgery. We present a case of development of pseudo-aneurysm in an elderly patient following open reduction and internal fixation of a femoral fracture. This case report outlines a prompt multidisciplinary approach of management in a rare case of pseudoaneurysm post fixation of long bone.

A complication of coronary angiography: rare presentation of pseudo aneurysm with groin swelling.

Pseudo aneurysm (PSA) is one of the most common vascular complications of cardiac and peripheral angiographic procedures. In this case we had an old man presenting with a large hard immobile pseudo pulsatile, severe painful swelling in groin region post21 days of coronary angiography.

Fatal pseudo aneurysm in common femoral artery a case report.

Pseudoaneurysm is a rare condition arising from disruption in arterial wall with blood dissecting into the tissues around the damaged artery creating a perfused sac that communicates with the arterial lumen. Its incidence is on rise due to increase in endovascular procedures, hemodialysis and intravenous drug abuse. Here we report an young male who was found by a NGO worker, lying on roadside near a Mandir with a pulsatile inguinal swelling and blood oozing out from it. He was taken immediately to emergency department of LN Hospital. He was a rickshaw puller and known drug addict. The swelling was diagnosed as pseudo-aneurysm of common femoral artery on clinical examination and by Doppler ultrasonogrphy. He was referred to CTVS department and admitted there for surgery. In the meanwhile, he collapsed in the hospital toilet and died due to hemorrhagic shock consequent upon rupture of pseudoaneurysm of femoral artery. In this report the gross and histopathological findings of pseudo-aneurysm of common femoral artery were described in autopsy.

Spontaneous Thrombosis in a Post-traumatic Splenic Pseudo-aneurysm

Introduction: Splenic pseudo-aneurysm is an uncommon complication following splenic injury caused by blunt abdominal trauma. Pseudo-aneurysm is usually treated with splenic arterial embolisation. Spontaneous thrombosis of a splenic pseudo-aneurysm can occur but it is rare. Method: We report a case of spontaneous thrombosis in a post-traumatic splenic pseudo-aneurysm. The patient was managed conservatively as he was haemodynamically stable with a repeat CT scan on the 7th day showing a tubular enhancing structure in the upper pole of the spleen demonstrating the same attenuation value. Conclusion: This case illustrates a spontaneous resolution of splenic pseudo-aneurysm, which is a rare outcome of the condition.

Pseudoaneurisma carotídeo secundario a cirugía transesfenoidal tratado exitosamente mediante oclusión carotídea con balón de Fogarty / Carotid pseudoaneurysm artery alter transsphenoidal surgery successfully treated with carotid oclusion with Fogarty balloon

Objetivo. Presentar un caso de pseudoaneurisma de carótida después de una cirugía transesfenoidal. Descripción. Paciente portadora de enfermedad de Cushing, previamente operada en tres oportunidades sin resultados favorables. Cuatro semanas después de la cuarta operación en que se logró finalmente resecar el adenoma, fue internada por presentar una hemorragia cataclísmica. Intervención. Se intentó sin éxito un procedimiento endovascular, por lo que como último recurso, se le insertó un balón Fogarty por arteriotomía cervical ocluyendo el seudoaneurisma en la carótida intracavernosa. La paciente se recuperó sin déficit neurológico. Este caso es el primero en la literatura tratado con balón Fogarty para este propósito. Se discuten las principales complicaciones vasculares de la cirugía transesfenoidal como la hipótesis de la eventual cura de la enfermedad de Cushing en este caso.

The authors presented a case of carotid pseudoaneurysm artery after transsphenoidal surgery in a female patient harboring Cushing disease, previously operated 3 times without endocrinological success. After a severe bleeding she was submittedendovascular procedures without results, and dramatically a Fogarty balloon was inserted by arteriotomy in the neck occluding the segment of pseudoaneurysm in intra-cavernous carotid artery, The patient recovered without neurological deficit. Thisrepresents the first case in literature treated with Fogarty balloon for this purpose. The characteristics of the main vascular complications are discussed as well as the hypothesis for the eventual cure of the Cushing disease in this case with a long term follow up. The association between micro-adenomas mainly Cushing are related to be associated with pseudo-aneurysmof carotid artery after transsphenoidal surgery.

Ultrasound-guided Thrombin Injection: An Alternative Treatment for Femoral Artery Pseudoaneurysm with Better Efficiency and Safety / 华中科技大学学报（医学）（英德文版）

The aim of this study was to evaluate the efficiency and safety of ultrasound-guided thrombin injection on femoral pseudoaneurysm (FPA) as compared to ultrasound-guided local oppression. Eleven cases of FPA were enrolled and 7 cases received ultrasound-guide thrombin injection (injection group), and the remaining 4 cases were treated with local oppression (oppression group). Efficiency and safety were analyzed by ultrasound and subsequent follow-up. The results showed that 1 case relapsed in oppression group while no relapse occurred in thrombin injection group. Ultrasound-guided thrombin injection is better for treatment of FPA in terms of effectiveness and safety.

INVESTIGATION ON MECHANISM OF CERVICAL VASCULAR INJURY AFTER EXPLOSION IN RABBIT / 解放军医学杂志

To investigate the mechanism of common carotid artery injury produced by explosion in neck region, and to determine the severity of carotid injury based on the injury of neck and the pressure of blast waves. After the detonation of the blast source at different distances, the injuries to rabbits' neck and carotid artery were examined, and the pressure of the blast waves to both skins and common carotid artery were measured with PVDF(polyvinylidene fluoride)sensors and oscilloscope. The endothelium of the injured carotid artery desquamated and micro thrombus formed on the arterial walls the after injury. Disruptions in the tunica media might account for pseudo aneurysm formation. These results offered experimental evidences pseudo aneurysm and thrombus formation in the carotid artery after an explosion in the neek region.