CASE REPORTS   

Chirurgia 2007 October;20(5):241-3

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Iatrogenic lumbar artery pseudoaneurysm following thrombectomy with a Fogarty catheter

Kato T., Azuma K., Murakawa S.

Department of Thoracic and Cardiovascular Surgery Gifu Municipal Hospital, Gifu, Japan

Pseudoaneurysm of the lumbar artery has not been reported as a complication following thrombectomy with a Fogarty catheter. A 74-year-old man was admitted with the right lower limb ischemia. He had a past history of aorto-bilateral external iliac artery bypass grafting using a bifurcated prosthesis for arteriosclerosis obliterans 7 years before. With a diagnosis of acute thromboembolism of the prosthesis, the patient underwent thrombectomy using a Fogarty catheter and his limb ischemia was immediately resolved. Three days after the procedure, he complained of severe lumbago. Computed tomography and angiography demonstrated a pseudoaneurysm of the lumbar artery visualizing the dye leakage into the psoas muscle. Transcatheter embolization for the affected artery was successfully performed. The patient’s complaint disappeared after the embolization and his convalescence was uneventful.