Spontaneous Superficial Femoral Artery Pseudoaneurysm in Behcet's Disease

Uğurlucan, Murat; Sendil, Selin; Sayın, Ömer Ali; Barburoğlu, Mehmet; Gok, Emre; Türkyilmaz, Gülsüm; Başaran, Murat; Alpagut, Ufuk; Dayıoğlu, Enver

doi:10.1155/2014/860243

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…A number of cases in individuals of similar age to our patient were linked to vasculitides such as Behcet's disease 5,12,36 whereby vascular inflammation and endothelial dysfunction lead to a deterioration in arterial structure, increasing the risk of pseudoaneurysm formation, however the vasculitis screen came back negative for our patient. In patients with diabetes, as in our case, pseudoaneurysm formation can occur through immunocompromise and overall tissue glycation.…”

Section: Discussionmentioning

confidence: 62%

Spontaneous bilateral superficial femoral artery pseudoaneurysms and a unilateral posterior tibial artery aneurysm in an immunocompromised patient

Crisp,

Ahmad,

Crockett

et al. 2024

Clinical Case Reports

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Key Clinical MessageThe presence of multiple pseudoaneurysms in a patient should prompt investigations for the underlying etiologies including autoimmune and immunosuppressive disease processes. Treatment options include open repair and endovascular stenting.AbstractPseudoaneurysms (also known as false aneurysms) are atypical dilatations or outpouchings from a vessel which are not always contained by the three layers of a normal vessel wall, namely the intima, media, and adventitia. These are distinct from a true aneurysm which has a wall comprising all three layers. The underlying etiology for both true aneurysms and pseudoaneurysm can vary. We present the rare case of bilateral superficial femoral artery pseudoaneurysms, of unknown etiology and a concurrent posterior tibial artery saccular aneurysm in a patient with Human Immunodeficiency Virus (HIV) infection and multiple comorbidities. This was managed using a combination of endovascular covered stent grafts and open surgical repair technique. The patient is doing well on follow‐up a year later with no post‐operative infections. A literature review of the existing reports of superficial femoral artery pseudoaneurysms and posterior tibial artery aneurysms and their management is also reported.

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Section: Discussionmentioning

confidence: 62%

Spontaneous bilateral superficial femoral artery pseudoaneurysms and a unilateral posterior tibial artery aneurysm in an immunocompromised patient

Crisp,

Ahmad,

Crockett

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…Arterial intervention may be inevitable in selected unresolving and emergent cases, while appropriate immunosuppression is mandatory to ensure a reduced complication rate. 3 7 However, postoperative immunosuppression placed our patient at risk of contracting SARS-CoV-2 infection.…”

Section: Discussionmentioning

confidence: 93%

Undiagnosed Behçet's Disease Complicated by Multiple Pseudoaneurysms and COVID-19 Infection

et al. 2021

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Behcet's disease (BD) is a rare multiorgan systemic disorder characterized by recurrent episodes of acute inflammation. Involvement of the vascular system, gastrointestinal tract, and central nervous system portends a poor prognosis.We report the case of a 54-year-old man who presented with a 2-week history of symptoms attributable to infrarenal aortic and left tibioperoneal trunk pseudoaneurysms, defined by CT angiography which also revealed right lower lobe pulmonary artery (PA) and right anterior tibial arterial aneurysms. A prior history of recurrent oral ulceration, periodic fever, cerebral venous sinus thrombosis, and aseptic endocarditis with pulmonary emboli invoked a diagnosis of BD. Immunosuppression was commenced immediately, following synchronous endovascular and open arterial intervention, except the PA aneurysm.He developed a fever and cough 8 days postoperatively as a consequence of COVID-19 infection from which he recovered without complications.The management of the patient's four aneurysms in different vascular territories and postoperative COVID-19 infection in the presence of mandatory immunosuppression are discussed.

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“…It is commonly caused iatrogenically – for example, after cardiac catheterization or by traumatic injuries to the femoral artery by intravenous drug users. However, further causes such as neoplastic, infective, inflammatory, or rare connective tissue disorders such as Behcet’s disease [ 2 ] are also possible. The most common location for pseudoaneurysms is in the femoral arteries, but they are also frequently found in the carotid and radial arteries.…”

Section: Introductionmentioning

confidence: 99%

Delayed Presentation of Non-traumatic Bilateral Leg Pseudoaneurysms Mimicking Soft-Tissue Sarcoma – A Case Report

Haq¹,

Duca²,

Papaioannou³

et al. 2022

JOCR

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Introduction: Non-traumatic pseudoaneurysms are very rare but should be considered as a differential diagnosis on patients presenting with a thigh mass. Case Presentation: We present an extremely unusual case of a 70-year-old patient who presented with clinical features of a soft-tissue sarcoma of the thigh that instead was proven to be a non-traumatic pseudoaneurysm. There was also incidental finding of bilateral leg non-traumatic pseudoaneurysms. Conclusion: Medical practitioners must consider the possibility of non-traumatic pseudoaneurysm in patients that present with a thigh mass. Keywords: Pseudoaneurysm, non-traumatic, thigh, sarcoma.

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Spontaneous Superficial Femoral Artery Pseudoaneurysm in Behcet's Disease

Cited by 7 publications

References 7 publications

Spontaneous bilateral superficial femoral artery pseudoaneurysms and a unilateral posterior tibial artery aneurysm in an immunocompromised patient

Spontaneous bilateral superficial femoral artery pseudoaneurysms and a unilateral posterior tibial artery aneurysm in an immunocompromised patient

Undiagnosed Behçet's Disease Complicated by Multiple Pseudoaneurysms and COVID-19 Infection

Delayed Presentation of Non-traumatic Bilateral Leg Pseudoaneurysms Mimicking Soft-Tissue Sarcoma – A Case Report

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