Pseudoaneurisma femoropoplíteo pós-traumático em doente alérgico às heparinas
DOI:
https://doi.org/10.48750/acv.7Palavras-chave:
Pseudoaneurisma femoropoplíteo, Pseudoaneurisma pós-traumático, Abordagem posterior, Alergia à heparinaResumo
Os pseudoaneurismas pós-traumáticos da artéria femoral são uma complicac¸ão rara. Normalmente têm causa iatrogénica e aparecem de imediato. Menos frequentemente surgem numa fase tardia e costumam estar relacionados com traumatismos, cirurgia ortopédica, lesões ósseas, infec¸ões, etc. Este artigo apresenta o caso de um paciente alérgico àheparina com pseudoaneurisma da artéria femoral superficial e primeira parte da artéria poplítea, secundário ao traumatismo remoto de uma extremidade com sérias deformidades como sequela. Realizamos cirurgia convencional com abordagem posterior e obtivemos um resultado e evoluc¸ão satisfatórios.
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Referências
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2. Raherinantenaina F, Rajaonanahary TM, Rakoto Ratsimba HN. Femoral artery pseudoaneurysms encountered in orthopedics and traumatology. J Mal Vasc. 2015, http://dx.doi.org/10.1016/j.jmv.2015.08.001.
3. Regus S, Lang W. Arterial injury and pseudoaneurysm formation after lesser trochanter fracture. Int J Surg Case Rep. 2015;14:4-6.
4. Aldemir M, Adali F, Akci Ö, et al. A rare para-anastomotic femoral artery aneurysm in a patient with history of femoro-popliteal bypass graft occlusion. Int J Surg Case Rep.
2015;10:49-51.
5. Mahfood Haddad T, Vallabhajosyula S, Sundaragiri PR, et al. Mycotic pseudoaneurysm by vancomycin-intermediate Staphylococcus aureus: a rare cause of persistent bacteraemia. BMJ Case Rep. 2015, http://dx.doi.org/10.1136/bcr-2014-209003.
6. Papacharalampous G, Galyfos G, Geropapas G, et al. False arterial aneurysm due to long bone exostosis: presentation of two cases and update on proper management. Ann Vasc Surg. 2015;29, 842.e19-22.
7. Karkos CD, Kalogirou TE, Giagtzidis IT, et al. Ruptured mycotic common femoral artery pseudoaneurysm: fatal pulmonary embolism after emergency stent-grafting in a drug abuser. Tex Heart Inst J. 2014;41:634-7.
8. Azghari A, Bouayad M, Belmir H, et al. Vascular type of Ehlers---Danlos syndrome: a rare cause of spontaneous pseudoaneurysms. J Mal Vasc. 2010;35:254-8.
9. Baril DT, Carroccio A, Palchik E, et al. Endovascular treatment of complicated aortic aneurysms in patients with underlying arteriopathies. Ann Vasc Surg. 2006;20:464-71.
10. Ko GY, Byun JY, Choi BG, et al. The vascular manifestations of Behc¸et disease: angiographic and CT findings. Br J Radiol. 2000;73:1270-4.
11. Rancic Z, Pecoraro F, Pfammatter T, et al. Less invasive (common) femoral artery aneurysm repair using endografts and limited dissection. EJVES. 2013;45:481-7.
12. Midy D, Berard X, Ferdani M, et al. A retrospective multicenter study of endovascular treatment of popliteal artery aneurysm. J Vasc Surg. 2010;51:850-6.
13. Piazza M, Menegolo M, Ferrari A, et al. Long-term outcomes and sac volume shrinkage after endovascular popliteal artery aneurysm repair. EJVS. 2014;48:161-8.
14. Silistreli E, Karabay Ö, Erdal C, et al. Behc¸et’s disease: treatment of popliteal pseudoaneurysm by an endovascular stent graft implantation. Ann Vasc Surg. 2004;18:
118-20.
15. Jacobowitz G, Cayne NS. Lower extremity aneurysms. In: Cronenwett JL, Johnston KW, editors. Rutherford’s vascular surgery. 8th ed. China: Saunders; 2014. p. 2190-205.
16. Eslami MH, Rybin D, Doros G, et al. Open repair of asymptomatic popliteal artery aneurysm is associated with better outcomes than endovascular repair. J Vasc Surg. 2015;61:663-9.
17. Pulli R, Dorigo W, Castelli P, et al. A multicentric experience with open surgical repair and endovascular exclusion of popliteal artery aneurysms. EJVS. 2013;45:
357-63.
18. Huang Y, Gloviczki P, Oderich GS, et al. Outcomes of endovascular and contemporary open surgical repairs of popliteal artery aneurysm. J Vasc Surg. 2014;60, 631-8.e2.
19. Dorweiler B, Gemechu A, Doemland M, et al. Durability of open popliteal artery aneurysm repair. J Vasc Surg. 2014;60:951-7.
20. Cina CS. Endovascular repair of popliteal aneurysms. J Vasc Surg. 2010;51:1056-60.
21. Ravn H, Wanhainen A, Björck M. Surgical technique and longterm results after popliteal artery aneurysm repair. Results from 717 operated legs. J Vasc Surg. 2007;46:
236-43.
22. Claes Y, van Hemelrijck J, van Gerven M, et al. Influence of hydroxyethyl starch on coagulation in patients during the perioperative period. Anesth Analg. 1992;75:24-30.
23. Conroy JM, Fishman RL, Reeves ST, et al. The effects of desmopressin and 6% hydroxyethyl starch on factor VIIIC. Anesth Analg. 1996;83:804-7.
24. Wilkes MM, Navickis RJ, Sibbald WJ. Albumin versus hydroxyethyl starch in cardiopulmonary bypass surgery: a meta-analysis of postoperative bleeding. Ann Thorac Surg.
2001;72:527-33.
25. Haisch G, Boldt J, Krebs C, et al. Influence of a new hydroxyethylstarch preparation (HES 130/0.4) on coagulation in cardiac surgical patients. J Cardiothorac Vasc Anesth.
2001;15:316-21.
26. Schramko AA, Suojaranta-Yinen RT, Kuitunen AH, et al. Rapidly degradable hydroxyethyl starch solutions impair blood coagulation after cardiac surgery: a prospective randomized trial. Anesth Analg. 2009;108:30---6.
2. Raherinantenaina F, Rajaonanahary TM, Rakoto Ratsimba HN. Femoral artery pseudoaneurysms encountered in orthopedics and traumatology. J Mal Vasc. 2015, http://dx.doi.org/10.1016/j.jmv.2015.08.001.
3. Regus S, Lang W. Arterial injury and pseudoaneurysm formation after lesser trochanter fracture. Int J Surg Case Rep. 2015;14:4-6.
4. Aldemir M, Adali F, Akci Ö, et al. A rare para-anastomotic femoral artery aneurysm in a patient with history of femoro-popliteal bypass graft occlusion. Int J Surg Case Rep.
2015;10:49-51.
5. Mahfood Haddad T, Vallabhajosyula S, Sundaragiri PR, et al. Mycotic pseudoaneurysm by vancomycin-intermediate Staphylococcus aureus: a rare cause of persistent bacteraemia. BMJ Case Rep. 2015, http://dx.doi.org/10.1136/bcr-2014-209003.
6. Papacharalampous G, Galyfos G, Geropapas G, et al. False arterial aneurysm due to long bone exostosis: presentation of two cases and update on proper management. Ann Vasc Surg. 2015;29, 842.e19-22.
7. Karkos CD, Kalogirou TE, Giagtzidis IT, et al. Ruptured mycotic common femoral artery pseudoaneurysm: fatal pulmonary embolism after emergency stent-grafting in a drug abuser. Tex Heart Inst J. 2014;41:634-7.
8. Azghari A, Bouayad M, Belmir H, et al. Vascular type of Ehlers---Danlos syndrome: a rare cause of spontaneous pseudoaneurysms. J Mal Vasc. 2010;35:254-8.
9. Baril DT, Carroccio A, Palchik E, et al. Endovascular treatment of complicated aortic aneurysms in patients with underlying arteriopathies. Ann Vasc Surg. 2006;20:464-71.
10. Ko GY, Byun JY, Choi BG, et al. The vascular manifestations of Behc¸et disease: angiographic and CT findings. Br J Radiol. 2000;73:1270-4.
11. Rancic Z, Pecoraro F, Pfammatter T, et al. Less invasive (common) femoral artery aneurysm repair using endografts and limited dissection. EJVES. 2013;45:481-7.
12. Midy D, Berard X, Ferdani M, et al. A retrospective multicenter study of endovascular treatment of popliteal artery aneurysm. J Vasc Surg. 2010;51:850-6.
13. Piazza M, Menegolo M, Ferrari A, et al. Long-term outcomes and sac volume shrinkage after endovascular popliteal artery aneurysm repair. EJVS. 2014;48:161-8.
14. Silistreli E, Karabay Ö, Erdal C, et al. Behc¸et’s disease: treatment of popliteal pseudoaneurysm by an endovascular stent graft implantation. Ann Vasc Surg. 2004;18:
118-20.
15. Jacobowitz G, Cayne NS. Lower extremity aneurysms. In: Cronenwett JL, Johnston KW, editors. Rutherford’s vascular surgery. 8th ed. China: Saunders; 2014. p. 2190-205.
16. Eslami MH, Rybin D, Doros G, et al. Open repair of asymptomatic popliteal artery aneurysm is associated with better outcomes than endovascular repair. J Vasc Surg. 2015;61:663-9.
17. Pulli R, Dorigo W, Castelli P, et al. A multicentric experience with open surgical repair and endovascular exclusion of popliteal artery aneurysms. EJVS. 2013;45:
357-63.
18. Huang Y, Gloviczki P, Oderich GS, et al. Outcomes of endovascular and contemporary open surgical repairs of popliteal artery aneurysm. J Vasc Surg. 2014;60, 631-8.e2.
19. Dorweiler B, Gemechu A, Doemland M, et al. Durability of open popliteal artery aneurysm repair. J Vasc Surg. 2014;60:951-7.
20. Cina CS. Endovascular repair of popliteal aneurysms. J Vasc Surg. 2010;51:1056-60.
21. Ravn H, Wanhainen A, Björck M. Surgical technique and longterm results after popliteal artery aneurysm repair. Results from 717 operated legs. J Vasc Surg. 2007;46:
236-43.
22. Claes Y, van Hemelrijck J, van Gerven M, et al. Influence of hydroxyethyl starch on coagulation in patients during the perioperative period. Anesth Analg. 1992;75:24-30.
23. Conroy JM, Fishman RL, Reeves ST, et al. The effects of desmopressin and 6% hydroxyethyl starch on factor VIIIC. Anesth Analg. 1996;83:804-7.
24. Wilkes MM, Navickis RJ, Sibbald WJ. Albumin versus hydroxyethyl starch in cardiopulmonary bypass surgery: a meta-analysis of postoperative bleeding. Ann Thorac Surg.
2001;72:527-33.
25. Haisch G, Boldt J, Krebs C, et al. Influence of a new hydroxyethylstarch preparation (HES 130/0.4) on coagulation in cardiac surgical patients. J Cardiothorac Vasc Anesth.
2001;15:316-21.
26. Schramko AA, Suojaranta-Yinen RT, Kuitunen AH, et al. Rapidly degradable hydroxyethyl starch solutions impair blood coagulation after cardiac surgery: a prospective randomized trial. Anesth Analg. 2009;108:30---6.
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Publicado
2016-12-13
Como Citar
1.
Blanco Amil CL, Gallego Ferreiroa C, Fraga Muñoz E, Encisa de Sá JM. Pseudoaneurisma femoropoplíteo pós-traumático em doente alérgico às heparinas. Angiol Cir Vasc [Internet]. 13 de Dezembro de 2016 [citado 26 de Novembro de 2024];12(3):199-204. Disponível em: https://acvjournal.com/index.php/acv/article/view/7
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