Encounters with pseudoaneurysms in orthopaedic practice

Dhal, Anil; Chadha, Manish; Lal, Hitesh; Singh, Tulika; Tyagi, Sanjay

doi:10.1016/s0020-1383(01)00094-8

Cited by 38 publications

(34 citation statements)

References 21 publications

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“…La correction du faux anévrisme se fait essentiellement par la chirurgie et plusieurs méthodes et techniques ont été décrites dans la littérature, y compris l'injection scanno-guidée de la thrombine en intra-anévrismale [9]. Le plus important est la rapidité de la cure du faux anévrisme qui devrait être effectuée une fois le diagnostic établi afin de prévenir les complications de la rupture ou de l'expansion rapide avec compression et souffrance des nerfs adjacents [10]. Dans notre cas, la biopsie chirurgicale en se compliquant d'épisodes intermittents de saignement, majorant également le risque de la rupture du faux anévrisme, a permis de pousser les investigations et d'établir le diagnostic du faux anévrisme.…”

Section: Discussionunclassified

Un faux anévrisme géant de la jonction fémoro-poplitée mimant un sarcome de la cuisse

Joulali

Houari

Bouazzaoui

et al. 2015

Anesthésie & Réanimation

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Section: Discussionunclassified

Un faux anévrisme géant de la jonction fémoro-poplitée mimant un sarcome de la cuisse

Joulali

Houari

Bouazzaoui

et al. 2015

Anesthésie & Réanimation

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“…Clinical examination is not always helpful in these patients because pulse deficit, pulsatile tumour, nerve palsy, or flow murmur may be absent [3]. Plain radiography of the upper chest, which helped to identify the underlying mechanisms in our cause, should be performed in patients presented with TOS to identify bony abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…Vascular lesions associated with these bone injuries may occur concomitantly with trauma or secondary to bone remodeling [2]. However, trauma or pseudarthrosis of the clavicle may cause pseudoaneurysm formation, resulting from a tangential laceration of all three layers of the wall of the artery [3]. If the pseudoaneurysm enlarges, it compresses the brachial plexus and the adjoining vessels and therefore, produces neurological symptoms and circulatory disorders [4].…”

Section: Introductionmentioning

confidence: 99%

Thoracic Outlet Syndrome Caused by a Pseudoaneurysm After Pseudarthrosis of the Clavicle

Heyn

Ozimek

Sadeghi‐Azandaryani

et al. 2008

Eur J Trauma Emerg Surg

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Clavicle fractures are common, with the majority treated conservatively. If treated conservatively, pseudarthrosis of the clavicle is reported in up to 3% of the cases. In rare cases, pseudarthrosis of the clavicle may cause pseudoaneurysm formation, resulting in compression of the brachial plexus and the adjoining vessels, which may produce neurological symptoms and circulatory disorders. Here, we describe two cases of the late onset of pseudoaneurysm formation after pseudarthrosis of the clavicle. Both cases were remarkable because they showed clinical symptoms of TOS. Therefore, surgical treatment was performed and included claviculectomy, resection of the pseudoaneurysm and interposition grafting with an artificial prosthesis. One year after the operation, both patients showed excellent upper extremity function without any deficit of vascular, sensorial or motorial function. Patient's history and radiological findings are the keys to diagnosis. Without treatment, the prognosis is poor with spontaneous development of bleeding or gangrene. Therefore, surgical treatment has to be performed, especially when neurological symptoms occur.

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“…12 Arteriography may then be used to evaluate the lesion in more detail, particularly if reconstructive surgery is being considered. 4 If the clinical suspicion of false aneurysm formation is high, arteriography may be used as the first line investigation. 5 There are four potential options for the management of pseudoaneurysms.…”

Section: Discussionmentioning

confidence: 99%