Os pseudoaneurismas pós-traumáticos da artéria femoral são uma complicac¸ão rara. Normalmente têm causa iatrogénica e aparecem de imediato. Menos frequentemente surgem numa fase tardia e costumam estar relacionados com traumatismos, cirurgia ortopédica, lesões ósseas, infeções, etc. Este artigo apresenta o caso de um paciente alérgico àheparina com pseudoaneurisma da artéria femoral superficial e primeira parte da artéria poplítea, secundário ao traumatismo remoto de uma extremidade com sérias deformidades como sequela. Realizamos cirurgia convencional com abordagem posterior e obtivemos um resultado e evoluc¸ão satisfatórios.

Post-traumatic pseudo-aneurysms of the femoral artery are a rare complication. They normally have iatrogenic causes and immediately appear. Less often, they appear at a later stage and are related with traumatisms, orthopaedic surgery, bone lesions, infections, etc. This report presents a case of a patient with allergy to heparin, and pseudo-aneurysm of the superficial femoral artery and 1st portion of the popliteal artery secondary to remote trauma in an extremity with serious deformities as a sequel. We performed conventional surgery using a posterior approach, and obtained a satisfactory outcome and evolution.

Current findings suggest that more attention needs to be given to the increase in body mass being achieved by disabled populations in general and individuals with mental retardation in particular, to minimize long-term negative health consequences. Given that physical activity programs have been reported as one of the most effective ways of improving the health of individuals with Down syndrome, it would be of interest facilitate different tools to contribute to their clinical follow-up. Consequently, this study was designed to assess the correlation between anthropometrical parameters and lipid profile in adolescents with Down syndrome. Anthropometric variables such as body mass index, waist circumference and waist-to-hip ratio as well as serum lipids (total cholesterol, high-density-lipoprotein cholesterol, total-choles-terol/high-density-lipoprotein cholesterol and triglycerides) were measured in 21 male adolescents (16.3 ± 1.1 years) with Down syndrome. Anthropometric parameters presented a positive association with serum lipids except for high-density-lipoprotein cholesterol that was negative. It should be emphasized the strongest association of waist-to-hip ratio to total cholesterol/high-density-lipoprotein cholesterol ratio (r = 0.48; p < 0.05). It is concluded waist circumference and waist-to-hip ratio may be highly recommended in clinical practice as appropriate anthropometric predictors of lipid profile in adolescents with Down syndrome. Further studies are required to assess their behavior during physical activity programs as well as to determine more correlations in these individuals.

Si la obesidad como epidemia está alcanzando cotas preocupantes en la población general, la situación es aún más alarmante entre poblaciones con retraso mental en general y síndrome de Down en particular. Afortunadamente, recientes estudios sugieren que los programas de actividad física parecen una buena estrategia para combatirla, especialmente a edades tempranas. Para facilitar el seguimiento clínico de los mismos, diseñamos este trabajo para determinar las correlaciones más significativas entre parámetros antropométricos (índice masa corporal; índice cintura cadera; perímetro cadera) y el perfil lipídico sérico (colesterol total; colesterol-HDL; ratio colesterol total/HDL; triglicéridos) de 21 jóvenes adolescentes (16.3 ± 1.1) con trisomía 21. El coeficiente de correlación de Pearson demostró que las variables antropométricas ensayadas mostraron una correlación positiva con los distintos parámetros lipidicos excepto para colesterol-HDL que fue negativa. En líneas generales el perímetro de la cintura mostró el mejor comportamiento, mientras el índice cintura cadera mostró la mayor fuerza de asociación con la ratio colesterol-total/colesterol-HDL (r = 0.48; p < 0.05). Futuros estudios en los que se confirme la utilidad de estos hallazgos durante la aplicación de programas de actividad física y en los que se evalúen nuevas asociaciones son necesarios para contribuir a un mejor seguimiento y manejo de estos pacientes.