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Case Reports in Vascular Medicine
Volume 2012, Article ID 434768, 4 pages
http://dx.doi.org/10.1155/2012/434768
Case Report

Management of a Complicated Ruptured Infected Pseudoaneurysm of the Femoral Artery in a Drug Addict

1Second Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11427 Athens, Greece
2Department of Plastic Surgery, Andreas Syngros Hospital, 5 Dragoumi Street, 16121 Athens, Greece
3Vascular Division, Second Department of Propedeutic Surgery, Laiko General Hospital of Athens, Athens University Medical School, 17 Ag. Thoma Street, 11527 Athens, Greece

Received 15 October 2012; Accepted 6 November 2012

Academic Editors: A. Iyisoy, E. Minar, and M. Sindel

Copyright © 2012 Emmanouil Psathas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infected pseudoaneurysm of the femoral artery represents a devastating complication of intravenous drug abuse, especially in the event of rupture. Operative strategy depends upon the extent of arterial injury and the coexistence of infection or sepsis. Options range from simple common femoral artery (CFA) ligation to complex arterial reconstruction with autologous grafts (arterial, venous, or homografts). We report herein the management of a 29-year-old male patient who was urgently admitted with a ruptured pseudoaneurysm of the right CFA, extending well above the inguinal ligament. Multidisciplinary approach with multiple arterial reconstructions and subsequent coverage of the tissue defect with a rectus abdominis musculocutaneous flap transposition was performed.