Pseudoaneurysm of the common femoral vein as a late complication of right heart catheterization

Abstract

Complications following venous punctures are unusual. We describe a case of a false common femoral vein aneurysm following right heart catheterization in a patient with systemic venous hypertension due to tricuspid regurgitation. The initial interpretation of the Doppler ultrasound study lead to a digital subtraction femoral arteriogram which was normal. Magnetic resonance venography demonstrated a femoral venous pseudoaneurysm.

Femoral vein pseudoaneurysm: uncommon complication of femoral vein puncture.

“…In fact, in reviewing the literature, we found only one other reported common femoral vein pseudoaneurysm. 2 The cause of the pseudoaneurysm in our case was not cardiac catheterization but the placement of a commonly used catheter for hemodialysis. Because this is a frequent procedure, these injuries may be more common than was previously thought.…”

Iatrogenic Venous Pseudoaneurysm: Case Report And Review Of The Literature

“…1 The most commonly reported cause has included iatrogenically induced venous wall injury from attempts at central venous access. [3][4][5] Rare reports of venipuncture 1,2 and surgically induced venous pseudoaneurysm have also been described, 6 as well as noniatrogenic causes, which include traumatic injury 7,8 and intravenous drug abuse. 9 Complications of venous pseudoaneurysm include venous thrombosis, pulmonary embolism, thrombophlebitis, compression or distortion of surrounding structures, and, rarely, rupture.…”

“…Diagnostic imaging is required to rule out subcutaneous neoplastic disease, hematoma, or vascular-related anomalies, which include arteriovenous fistulae. 3,10 Although B-mode ultrasonography, venography, computed tomography, and magnetic resonance imaging/magnetic resonance angiography have all been important diagnostic tools used in previously reported cases of venous pseudoaneurysm, [1][2][3][4][5][6][7][8] color-flow duplex ultrasonography allows adequate evaluation of the anatomy and flow physiology in a noninvasive fashion. 4,5,11 The characteristic duplex findings of lowpressure blood swirls, compressible venous anatomy, and a cavity-filling feeding branch confirmed the diagnosis and facilitated operative planning.…”

Das Aneurysma der Vena femoralis als Differentialdiagnose der Schenkelhernie

“…Bereits in dieser Vero Èffentlichung wird die Differentialdiagnose zum Schenkelbruch erwa Èhnt, in einer weiteren Abhandlung u Èber veno Èse Aneurysmen generell [10] wird sogar betont, daû die klinische Bedeutung der infrainguinalen Aneurysmen in der Differentialdiagnose der Schenkelhernie liegt [6,11]. Bisher wurde im Schrifttum nur u Èber sechs V. femoralis-Aneurysmen berichtet [5,6,8,9,12,13], wobei es sich in einem Fall um ein Pseudoaneurysma nach Rechtsherzkatheter handelte. Fu Èr die Mehrzahl der publizierten Fa Èlle du Èrfte die umschriebene angeborene Schwa Èche der Venenwand als Ursache fu Èr das Aneurysma angesehen werden [7].…”

“…In der englischsprachigen Literatur der Jahre 1938 bis August 1999 sind lediglich sechs Fa Èlle [5,6,8,9,12,13] von Aneurysmen der V. femoralis beschrieben. Wir berichten im folgenden u Èber ein posttraumatisches Aneurysma der V. femoralis.…”