Gandhi Rikesh A, Hasenauer Mark, Mehta Samir
Department of Orthopaedic Surgery, University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA, 19104, United States.
J Clin Orthop Trauma. 2019 Sep-Oct;10(5):965-968. doi: 10.1016/j.jcot.2018.05.007. Epub 2018 Jun 20.
The formation of pseudoaneuryms after orthopaedic procedures in the setting of connective tissue disorders such as Marfan syndrome (MFS) is not well documented in the literature. We report the case of a seventy-one year old male with MFS who underwent uncomplicated distal interlocking screw removal from a femoral cephalomedullary nail for symptomatic hardware. Five weeks later, he presented with a popliteal artery pseudoaneurysm. The patient underwent successful open ligation and excision of the pseudoaneurysm. This is the first reported case of a popliteal artery pseudoaneurysm following orthopaedic hardware removal in a patient with MFS. MFS may predispose patients to peripheral vascular complications even in the most routine cases. A thorough understanding of the patient and complications associated with MFS is required prior to proceeding with elective orthopaedic surgery.
在马凡综合征（MFS）等结缔组织疾病背景下，骨科手术后假性动脉瘤的形成在文献中记录不足。我们报告了一例71岁患有MFS的男性病例，其因有症状的内固定物而接受了从股骨髓内钉取出远端交锁螺钉的简单手术。五周后，他出现了腘动脉假性动脉瘤。患者接受了假性动脉瘤的成功开放结扎和切除。这是首例关于MFS患者在骨科内固定物取出后出现腘动脉假性动脉瘤的报道病例。即使在最常规的病例中，MFS也可能使患者易患周围血管并发症。在进行择期骨科手术之前，需要全面了解患者以及与MFS相关的并发症。
