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Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus
Dorsalis pedis artery (DPA) aneurysms are very rare and fewer than 60 cases have been reported in the literature. Most affected patients present with false aneurysms after orthopedic surgery or trauma. Here we report an unusual case of a giant DPA pseudoaneurysm after cannulation for arterial line p...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Vascular Specialist International
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609015/ https://www.ncbi.nlm.nih.gov/pubmed/31297363 http://dx.doi.org/10.5758/vsi.2019.35.2.114 |
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author | Anastasiadou, Christiana Giannakakis, Sotiris Galyfos, George Livieratos, Livieris Kastrisios, George Papapetrou, Anastasios Maltezos, Chrisostomos |
author_facet | Anastasiadou, Christiana Giannakakis, Sotiris Galyfos, George Livieratos, Livieris Kastrisios, George Papapetrou, Anastasios Maltezos, Chrisostomos |
author_sort | Anastasiadou, Christiana |
collection | PubMed |
description | Dorsalis pedis artery (DPA) aneurysms are very rare and fewer than 60 cases have been reported in the literature. Most affected patients present with false aneurysms after orthopedic surgery or trauma. Here we report an unusual case of a giant DPA pseudoaneurysm after cannulation for arterial line placement in a patient newly diagnosed with systemic lupus erythematosus (SLE). A diagnostic delay resulted in necrosis of the overlying skin. Excision of the pseudoaneurysm, ligation of the DPA, and debridement of the foot dorsum were performed, followed by a second flap coverage surgery. Although a DPA false aneurysm is rare after arterial line removal, it can cause the serious complications of skin necrosis, rupture and toe necrosis. Arterial puncture sites should be carefully monitored, especially in patients with SLE or other vasculitis. |
format | Online Article Text |
id | pubmed-6609015 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Vascular Specialist International |
record_format | MEDLINE/PubMed |
spelling | pubmed-66090152019-07-11 Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus Anastasiadou, Christiana Giannakakis, Sotiris Galyfos, George Livieratos, Livieris Kastrisios, George Papapetrou, Anastasios Maltezos, Chrisostomos Vasc Specialist Int Case Report Dorsalis pedis artery (DPA) aneurysms are very rare and fewer than 60 cases have been reported in the literature. Most affected patients present with false aneurysms after orthopedic surgery or trauma. Here we report an unusual case of a giant DPA pseudoaneurysm after cannulation for arterial line placement in a patient newly diagnosed with systemic lupus erythematosus (SLE). A diagnostic delay resulted in necrosis of the overlying skin. Excision of the pseudoaneurysm, ligation of the DPA, and debridement of the foot dorsum were performed, followed by a second flap coverage surgery. Although a DPA false aneurysm is rare after arterial line removal, it can cause the serious complications of skin necrosis, rupture and toe necrosis. Arterial puncture sites should be carefully monitored, especially in patients with SLE or other vasculitis. Vascular Specialist International 2019-06 2019-06-30 /pmc/articles/PMC6609015/ /pubmed/31297363 http://dx.doi.org/10.5758/vsi.2019.35.2.114 Text en Copyright © 2019, The Korean Society for Vascular Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Anastasiadou, Christiana Giannakakis, Sotiris Galyfos, George Livieratos, Livieris Kastrisios, George Papapetrou, Anastasios Maltezos, Chrisostomos Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus |
title | Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus |
title_full | Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus |
title_fullStr | Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus |
title_full_unstemmed | Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus |
title_short | Giant Dorsalis Pedis Pseudoaneurysm Following Cannulation for Arterial Line in a Patient with Systemic Lupus Erythematosus |
title_sort | giant dorsalis pedis pseudoaneurysm following cannulation for arterial line in a patient with systemic lupus erythematosus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609015/ https://www.ncbi.nlm.nih.gov/pubmed/31297363 http://dx.doi.org/10.5758/vsi.2019.35.2.114 |
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