PMC7666621_01
Infected pseudoaneurysm in the left groin.
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A 72-year-old male patient was admitted into our centre with large infected pseudoaneurysm (PSA) in the left groin (CRP: 209.4 mg/L; WBC: 7.7 x 109/L) (Figure 1).
Patient's CT angiography on admission: (a) asymptomatic 11 cm juxtarenal abdominal aortic aneurysm with partially thrombosed 65 x 55 mm pseudoaneurysm in the left groin; (b) partially thrombosed 65 x 55 mm pseudoaneurysm in the left groin.
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The patient underwent a CT angiography (CTA) that confirmed a large partly thrombosed 6.5 x 5.5 cm PSA in the left groin arising from the ABF distal anastomosis (Figure 2(a)). Furthermore, the CTA revealed 11 cm juxtarenal abdominal aortic aneurysm (JAAA) from which the proximal anastomosis of the ABF was arising (Figure 2(b)).
Perioperative finding. (a) Right groin: end to side anastomosis of arterial allograft on the common femoral artery. (b) Resected thrombosed pseudoaneurysm from the left groin. (c) Left groin: end to side anastomosis of arterial allograft on the common femoral artery bifurcation. Ligated common femoral artery below inguinal ligament (arrow).
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AA. An anastomosis on the right common femoral artery was performed using polypropylene 6/0 (Figure 3(a)). The AA was subfascialy carried over to the left groin, where massive infected PSA was resected (Figure 3(b)). Femoral bifurcation was dissected, and the AA was anastomosed to the femoral bifurcation using polypropylene 6/0, restoring blood flow to the superficial and deep femoral arteries (Figure 3(c)).