Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict

Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict

Infected pseudoaneurysm of the femoral artery represents a devastating complication of intravenous drug abuse, especially in the event of rupture. Operative strategy depends upon the extent of arterial injury and the coexistence of infection or sepsis. Options range from simple common femoral artery...

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Main Authors: Emmanouil Psathas, Stella Lioudaki, Fotios-Filippos Karantonis, Petros Charalampoudis, Othon Papadopoulos, Chris Klonaris
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2012/434768
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spelling doaj-7e7147b0aa30481ca627a80a097b8b862020-11-24T21:02:29ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942012-01-01201210.1155/2012/434768434768Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug AddictEmmanouil Psathas0Stella Lioudaki1Fotios-Filippos Karantonis2Petros Charalampoudis3Othon Papadopoulos4Chris Klonaris5Second Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11427 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11427 Athens, GreeceDepartment of Plastic Surgery, Andreas Syngros Hospital, 5 Dragoumi Street, 16121 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11427 Athens, GreeceDepartment of Plastic Surgery, Andreas Syngros Hospital, 5 Dragoumi Street, 16121 Athens, GreeceSecond Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11427 Athens, GreeceInfected pseudoaneurysm of the femoral artery represents a devastating complication of intravenous drug abuse, especially in the event of rupture. Operative strategy depends upon the extent of arterial injury and the coexistence of infection or sepsis. Options range from simple common femoral artery (CFA) ligation to complex arterial reconstruction with autologous grafts (arterial, venous, or homografts). We report herein the management of a 29-year-old male patient who was urgently admitted with a ruptured pseudoaneurysm of the right CFA, extending well above the inguinal ligament. Multidisciplinary approach with multiple arterial reconstructions and subsequent coverage of the tissue defect with a rectus abdominis musculocutaneous flap transposition was performed.http://dx.doi.org/10.1155/2012/434768
collection DOAJ
language English
format Article
sources DOAJ
author Emmanouil Psathas
Stella Lioudaki
Fotios-Filippos Karantonis
Petros Charalampoudis
Othon Papadopoulos
Chris Klonaris
spellingShingle Emmanouil Psathas
Stella Lioudaki
Fotios-Filippos Karantonis
Petros Charalampoudis
Othon Papadopoulos
Chris Klonaris
Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict
Case Reports in Vascular Medicine
author_facet Emmanouil Psathas
Stella Lioudaki
Fotios-Filippos Karantonis
Petros Charalampoudis
Othon Papadopoulos
Chris Klonaris
author_sort Emmanouil Psathas
title Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict
title_short Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict
title_full Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict
title_fullStr Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict
title_full_unstemmed Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict
title_sort management of a complicated ruptured infected pseudoaneurysm of the femoral artery in a drug addict
publisher Hindawi Limited
series Case Reports in Vascular Medicine
issn 2090-6986
2090-6994
publishDate 2012-01-01
description Infected pseudoaneurysm of the femoral artery represents a devastating complication of intravenous drug abuse, especially in the event of rupture. Operative strategy depends upon the extent of arterial injury and the coexistence of infection or sepsis. Options range from simple common femoral artery (CFA) ligation to complex arterial reconstruction with autologous grafts (arterial, venous, or homografts). We report herein the management of a 29-year-old male patient who was urgently admitted with a ruptured pseudoaneurysm of the right CFA, extending well above the inguinal ligament. Multidisciplinary approach with multiple arterial reconstructions and subsequent coverage of the tissue defect with a rectus abdominis musculocutaneous flap transposition was performed.
url http://dx.doi.org/10.1155/2012/434768
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AT stellalioudaki managementofacomplicatedrupturedinfectedpseudoaneurysmofthefemoralarteryinadrugaddict
AT fotiosfilipposkarantonis managementofacomplicatedrupturedinfectedpseudoaneurysmofthefemoralarteryinadrugaddict
AT petroscharalampoudis managementofacomplicatedrupturedinfectedpseudoaneurysmofthefemoralarteryinadrugaddict
AT othonpapadopoulos managementofacomplicatedrupturedinfectedpseudoaneurysmofthefemoralarteryinadrugaddict
AT chrisklonaris managementofacomplicatedrupturedinfectedpseudoaneurysmofthefemoralarteryinadrugaddict
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