ABSTRACT
We describe a case of a voluminous infected aneurysm of the popliteal artery, with Listeria monocytogenes (LM) associated with rupture, in a 72-year old man. After radical resection of the aneurysm a reconstruction was not necessary, because of the sufficient blood supply, due to the pre-existent good development of collateral circulation. The patient was discharged on the 12th postoperative day with primary healing of the wound and viable leg. Adequate antibiotic treatment was continued for 4 weeks. In the following 18 months the serial clinical examinations, laboratory tests and ultrasound scans have shown no evidence of reinfection.
Subject(s)
Aneurysm, Infected , Aneurysm, Ruptured , Listeria monocytogenes , Listeriosis , Popliteal Artery , Aged , Aneurysm, Infected/diagnosis , Aneurysm, Infected/microbiology , Aneurysm, Infected/surgery , Aneurysm, Ruptured/diagnosis , Aneurysm, Ruptured/microbiology , Aneurysm, Ruptured/surgery , Humans , Listeriosis/complications , Listeriosis/diagnosis , MaleABSTRACT
We report a case of an arteriovenous fistula (AVF) following osteosynthetic treatment of a fracture of the lower limb 13 years ago. A stent-graft technique had been used to close a high flow traumatic AVF between the popliteal artery and the popliteal vein. The failure to properly evaluate traumatic AVF may sometimes lead to remarkable delay in diagnosis with devastating consequences including edema, ischaemia, ulceration and high output heart failure. Endovascular treatment of these lesions is promising but long-term follow-up will be required to determine the durable patency and the onset of potential complications.
Subject(s)
Arteriovenous Fistula/surgery , Fracture Fixation, Internal , Popliteal Artery/surgery , Postoperative Complications , Aged , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Fistula/etiology , Follow-Up Studies , Humans , Male , Popliteal Artery/diagnostic imaging , Popliteal Artery/injuries , Stents , Ultrasonography , Vascular PatencyABSTRACT
Despite the proven reliability of polyethylene terephthlate (PET) grafts, structural defects resulting in graft rupture and false aneurysm formation have been sporadically described. Two cases of late, non anastomotic, false aneurysms of PET femoropopliteal grafts, are reported. The diagnosis is readily apparent on clinical examination and imaging studies, which display an aneurysm along the course of the graft, remote from the anastomosis. The extent of the repair depends on the extent of the degenerative process.