Levine Daniel, Zhang Allen, Haikal Khalid, Janda Paul, Vickers Aroucha
Medical School, Kirk Kerkorian School of Medicine at UNLV (University of Nevada, Las Vegas), Las Vegas, USA.
Neurology, Valley Hospital Medical Center, Las Vegas, USA.
Cureus. 2024 Jul 29;16(7):e65660. doi: 10.7759/cureus.65660. eCollection 2024 Jul.
Peripheral artery disease exerts a substantial toll on public health in the United States, straining healthcare resources. In challenging cases, the axillofemoral bypass graft had emerged as a cornerstone in managing this condition. Unforeseen events, such as trauma, can lead to a presentation mimicking stroke and thus exacerbating the complexity of the diagnostic process. Herein, we present the case of a 64-year-old male with complex peripheral artery disease who developed a pseudoaneurysm mimicking stroke symptoms following a traumatic incident post axillofemoral bypass graft surgery. This case underscores the critical importance of employing diverse diagnostic modalities to navigate the complex differential diagnosis of stroke-like symptoms in patients post-surgery.
外周动脉疾病给美国的公共卫生带来了沉重负担，耗费了医疗资源。在具有挑战性的病例中，腋股旁路移植术已成为治疗这种疾病的基石。意外事件，如外伤，可能导致类似中风的表现，从而加剧诊断过程的复杂性。在此，我们报告一例64岁患有复杂外周动脉疾病的男性病例，该患者在腋股旁路移植术后发生创伤事件后出现了模拟中风症状的假性动脉瘤。该病例强调了采用多种诊断方法对术后出现类似中风症状的患者进行复杂鉴别诊断的至关重要性。
