Popliteal Venous Pseudoaneurysm and Arteriovenous Fistula after Orthopedic Surgery

作     者：Bertrand Saint-Lebes Emilie Chastonay Olivier Borens Celine Dubuis Sebastien Deglise Francois Saucy Herve Rousseau Jean-Marc Corpataux 

作者机构：Department of Thoracic and Vascular SurgeryLausanne University HospitalLausanneSwitzerland Department of Orthopaedic and Trauma SurgeryLausanne University HospitalLausanneSwitzerland Department of Vascular Interventional RadiologyUniversity HospitalToulouseFrance 

出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)

年 卷 期：2013年第3卷第1期

页      面：1-7页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Arthroscopy Complication Arteriovenous Fistula Anterior Cruciate Ligament Venous Aneurysm 

摘      要：Arthroscopically assisted reconstruction of the anterior cruciate ligament (LCA) is generally a safe and effective procedure with a low rate of vascular complications. We report on a case of a 33-year-old woman with a combined arteriovenous fistula (AVF) and venous popliteal aneurysm that developed 6 months after arthroscopic anterior cruciate ligament reconstruction. At clinical exam the patient presented with left popliteal and calf pain, a tender pulsatile mass posterior to her left knee, popliteal bruit and a thrill at the popliteal fossa. CT scan showed an AVF arising from the left popliteal artery. An aneurysm was seen to fill at the same time as the popliteal vein. Findings at open surgical revision included AVF between the tibioperoneal trunk and the popliteal vein and a venous popliteal aneurysm at the level of the arteriovenous communication. The aneurysm and fistula were repaired. The patient had an uneventful follow up with complete recovery. We also report an endovascular treatment of a iatrogenic arterio-venous fistula.