Wright Anna Elizabeth, Wall Michael, Slaney Penny, Downing Richard
Department of Vascular Surgery, Worcestershire Royal Hospital, Worcester, UK.
Department of Interventional Radiology, Worcestershire Royal Hospital, Worcester, UK.
BMJ Case Rep. 2014 Jun 27;2014:bcr2014204625. doi: 10.1136/bcr-2014-204625.
Pseudoaneurysms of peripheral arteries are not an uncommon condition presenting to vascular surgeons. Perioperative injury and infection are two of the commonest causes. We describe a case of an 82-year-old lady, who presented 10 years following right shoulder joint replacement, with a sharply marginated erythematous cutaneous eruption over the right shoulder. Subsequent angiography revealed a pseudoaneurysm of the acromial branch of the thoracoacromial artery. Planned intervention was superseded by a further embolic episode, which prompted immediate percutaneous translumninal embolisation of the aneurysm. The aetiology of a pseudoaneurysm 10 years following shoulder arthroplasty is discussed.
外周动脉假性动脉瘤在血管外科医生接诊的病例中并不少见。围手术期损伤和感染是最常见的两个原因。我们描述了一例82岁女性患者，她在右肩关节置换术后10年出现右肩部边界清晰的红斑性皮肤疹。随后的血管造影显示胸肩峰动脉肩峰支假性动脉瘤。计划中的干预因再次出现栓塞事件而被取代，这促使立即对动脉瘤进行经皮腔内栓塞。本文讨论了肩关节置换术后10年发生假性动脉瘤的病因。
