Abissegue Yves, Lyazidi Youssef, Chtata Hassan Taoufik, Taberkant Mustapha
Service de Chirurgie Vasculaire, Hôpital Militaire d'Instruction Mohamed V, Hay Riad, Rabat, Morocco.
Service de Chirurgie Vasculaire, Hôpital Militaire d'Instruction Mohamed V, Hay Riad, Rabat, Morocco.
Ann Vasc Surg. 2014 May;28(4):1032.e17-20. doi: 10.1016/j.avsg.2013.09.014. Epub 2013 Dec 14.
Femoral false aneurysms are rare. They are one of the main complications of femoral catheterization, trauma of this area, or the use of intravenous drugs. They usually occur in the days after femoral puncture, and only rarely occur years after the procedure or incident. Treatment often requires complex surgical methods. We report the management of a patient with a ruptured infected femoral false aneurysm that was diagnosed 4 years after a femoral puncture performed in intensive care unit to perform peripheral arterial catheter hemodynamic monitoring. The patient was operated with exclusion of the aneurysm and prosthetic bypass, associated with intravenous antibiotics adapted to the bacterial strain grown from the operative site, which resulted in a favorable outcome.
股动脉假性动脉瘤较为罕见。它们是股动脉插管、该区域创伤或静脉药物使用的主要并发症之一。通常发生在股动脉穿刺后的数天内,仅极少数情况下会在操作或事件发生数年之后出现。治疗往往需要复杂的手术方法。我们报告了一例股动脉穿刺后4年诊断出的破裂感染性股动脉假性动脉瘤患者的治疗情况,该穿刺是在重症监护病房进行外周动脉导管血流动力学监测时进行的。患者接受了动脉瘤切除及人工血管旁路移植手术,并根据手术部位培养出的细菌菌株使用了静脉抗生素,最终取得了良好的治疗效果。