Bensaid Badr, Bakkali Tarek, Tijani Youssef, Elkhalloufi Samir, Lekehal Brahim, Sefiani Yassir, El Mesnaoui Abess, Bensaid Younes
Vascular Surgery Department, Ibn Sina Hospital, Mohamed V University, NAHDA Avenue, Box 45, App 21, Rabat, Morocco.
J Med Case Rep. 2017 Jan 4;11(1):3. doi: 10.1186/s13256-016-1149-3.
A traumatic non-anastomotic pseudoaneurysm is a rare complication of an axillofemoral bypass graft. Fewer than 20 cases have been reported in the literature. Our case is unusual in that we report a double localization of this complication.
We report the case of a 60-year-old Arabic male patient who was diagnosed with two hematomas in the trajectory of his axillofemoral bypass secondary to a traumatism. The diagnosis of a non-anastomotic pseudoaneurysm was retained considering the results of a computed tomography angiography scan, which showed the double localization of the pseudoaneurysm. Surgical management consisted of flattening the pseudoaneurysm along with the interposition of a prosthetic segment. There were no postoperative complications and our patient was well 3 years after discharge.
Non-anastomotic pseudoaneurysm is a rarely described complication of a axillofemoral bypass graft. To the best of our knowledge, a double localization has not been described in the literature before. Minimally invasive techniques as a treatment option are being widely used as an alternative to open repair.
创伤性非吻合口假性动脉瘤是腋股旁路移植术的一种罕见并发症。文献报道的病例不足20例。我们报告的这例病例不同寻常之处在于，该并发症出现了双重定位。
我们报告了一名60岁的阿拉伯男性患者，其在腋股旁路移植术后因外伤在移植路径上出现了两个血肿。考虑到计算机断层血管造影扫描结果显示假性动脉瘤有双重定位，故诊断为非吻合口假性动脉瘤。手术治疗包括将假性动脉瘤展平并置入一段人工血管。术后无并发症，患者出院3年后情况良好。
非吻合口假性动脉瘤是腋股旁路移植术一种鲜有描述的并发症。据我们所知，此前文献中尚未描述过双重定位的情况。作为一种治疗选择，微创技术正被广泛用作开放修复的替代方法。
