Khalid Muhammad, Murtaza Ghulam, Kanaa Majd, Ramu Vijay
Department of Internal Medicine, East Tennessee State University, Johnson City, USA.
Cardiology, Division of Cardiology, East Tennessee State University, Johnson City, USA.
Cureus. 2018 Mar 27;10(3):e2375. doi: 10.7759/cureus.2375.
Femoral artery pseudoaneurysm (FAP) is a common complication associated with left heart cardiac catheterization. FAP is a pulsatile encapsulated mass usually formed three to seven days after removal of the arterial sheath post cardiac catheterization. Usually, FAP is asymptomatic. Groin pain and swelling are the most common complaints in symptomatic patients. It can be associated with multiple different complications including rupture, bleeding, and vascular compression leading to venous thrombosis, limb ischemia, and neuropathy. Deep vein thrombosis (DVT) resulting from FAP is an unusual complication with very few cases reported in the literature. We present a case of right-sided DVT secondary to the compression of femoral vein resulting in venous outflow obstruction due to iatrogenic FAP post cardiac catheterization that was successfully managed conservatively.
股动脉假性动脉瘤（FAP）是左心心脏导管插入术相关的常见并发症。FAP是一种搏动性包块，通常在心脏导管插入术后拔除动脉鞘管三至七天形成。通常，FAP无症状。腹股沟疼痛和肿胀是有症状患者最常见的主诉。它可伴有多种不同并发症，包括破裂、出血和血管受压导致静脉血栓形成、肢体缺血和神经病变。FAP导致的深静脉血栓形成（DVT）是一种罕见并发症，文献报道的病例极少。我们报告一例因医源性心脏导管插入术后FAP压迫股静脉导致静脉流出道梗阻继发右侧DVT的病例，该病例经保守治疗成功治愈。
