Title |
Double localization of a non-anastomotic pseudoaneurysm after an axillofemoral bypass: a case report and review of the literature
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Published in |
Journal of Medical Case Reports, January 2017
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DOI | 10.1186/s13256-016-1149-3 |
Pubmed ID | |
Authors |
Badr Bensaid, Tarek Bakkali, Youssef Tijani, Samir Elkhalloufi, Brahim Lekehal, Yassir Sefiani, Abess El Mesnaoui, Younes Bensaid |
Abstract |
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. |
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