PMC6679845_01
CTA of left lower extremity, axial images showing the anastomosis pseudoaneurysm with active extravasation.
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fig1
CT angiography demonstrated a ruptured anastomotic pseudoaneurysm with contrast extravasation into an intramuscular hematoma measuring 12.4 x10.6 x 28.2 cm (Figures 1 and 2).
CTA of left lower extremity, coronal images showing the anastomosis pseudoaneurysm with active extravasation.
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fig2
CT angiography demonstrated a ruptured anastomotic pseudoaneurysm with contrast extravasation into an intramuscular hematoma measuring 12.4 x10.6 x 28.2 cm (Figures 1 and 2).
Left thigh of the patient on physical exam.
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fig3
On examination, he had significant scarring of the left groin from his previous surgeries and skin grafting which precluded open vascular repair (Figure 3).
Intraoperative angiogram showing the left superficial femoral artery pseudoaneurysm with wire in place.
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A left lower extremity angiogram was obtained showing a pseudoaneurysm coming from the distal superficial femoral artery (Figure 4).
Intraoperative angiogram showing complete resolution the left superficial femoral artery pseudoaneurysm after stents placement.
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After 10mm balloon dilation of the stents, a completion angiogram demonstrated no extravasation to the pseudoaneurysm (Figure 5).