Open AccessCadaveric allograft implantation to maintain limb viability in a case of traumatic pseudoaneurysm and poor native vessels
Author(s) -
Jjs Wall,
Mohammed Abdul Waduud,
D. J. A. Scott
Publication year - 2019
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/rcsann.2019.0080
Subject(s) - medicine , pseudoaneurysm , surgery , cadaveric spasm , ligation , amputation , stenosis , femoral artery , artery , angioplasty , radiology , complication
Infected pseudoaneurysms are a vascular emergency, necessitating urgent surgical management. Owing to the infected field, a synthetic graft may be inappropriate in patients for whom autografting is impossible. Ligation of the artery is the usual management, often leading to amputation. We report a case of cadaveric allografting of the common femoral artery in a patient with a traumatic, infected pseudoaneurysm, who was taking immunosuppressive therapy for a liver transplant. The patient was followed up with ultrasound at 12 months and was found to have a significant graft stenosis, which was treated successfully with angioplasty. At 18 months, the patient remained well. This case describes the successful implantation of a cadaveric allograft into a patient with an infected pseudoaneurysm, negating the for need primary ligation.