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- Title
Traumatic Nonanastomotic Pseudoaneurysm of Axillofemoral Bypass Graft: A Case Report and Review of the Literature.
- Authors
Mousa, Albeir Y.; Nanjundappa, Aravinda; Abu-Halimah, Shadi; AbuRahma, Ali F.
- Abstract
Traumatic nonanastomtic disruption of an axillofemoral bypass graft (AFBG) is a relatively rare entity. However, we are reporting on an 82-year-old female who presented with a pulsating mass on her left side, which was noticed about 2 weeks after she fell on her side. The patient had undergone an ABFG about 15 years earlier for limb revascularization, and she had an occluded aortobifemoral bypass graft. A diagnosis of localized rupture with pseudoaneurysm (PSA) was confirmed with arterial duplex ultrasound and computed tomograph (CT) angiogram scans. A 7-cm PSA with partial disruption of the polytetrafluoroethylene (PTFE) graft at the level of the fifth thoracic vertebrae was noted. An initial work-up to eliminate the possibility of sepsis and localized mycotic seeding was negative. The patient was taken to the hybrid angiogram room, and a percutaneous cut down of the AFBG was performed with local dissection below the site of rupture. A limited angiogram showed a focal PSA of the AFBG. An intravascular ultrasound (IVUS) was performed to calibrate the diameter of the AFBG, and a covered stent was deployed across the area of the disrupted graft. A completion angiogram showed complete exclusion of the PSA with good runoff throughout the graft. The authors will review the management of the traumatic PSA with an endovascular approach.
- Subjects
FEMORAL artery; ANGIOGRAPHY; AXILLARY artery; BLOOD vessel prosthesis; ACCIDENTAL falls; FALSE aneurysms; SURGERY
- Publication
Vascular & Endovascular Surgery, 2013, Vol 47, Issue 1, p57
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574412463972