Femoral pseudoaneurysms in drug addicts: About 4 cases

Journal De Médecine Vasculaire
M Ben HammamiaR Denguir

Abstract

To describe the therapeutic management of false aneurysms of the femoral artery in drug addicts. We report the cases of four drug addicts with pseudoaneurysms of the femoral artery. All patients were male with a mean age of 36 years. Emergency surgical treatment involved removal of the pseudoaneurysm followed by a venous graft (n=3) or patch (n=1). The post-operative period was uneventful for three patients. One patient required early revision with a second venous bypass after bleeding from the first then later a second revision for resection of infected tissue and sartorius muscle plasty to cover the groin area. Late outcome was favorable for all patients after an average 12-month follow-up. No consensus has been reached concerning the appropriate treatment for false aneurysms of the femoral artery in drug addicts. Analyses of larger series with longer follow-ups are needed to elucidate the best emergency surgical methods capable of reducing the risk of rupture.

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