Successful management of anastomotic false aneurysm after a femoro-popliteal bypass with percutaneous injection of fibrin sealant

Tratamento bem-sucedido de pseudoaneurisma anastomótico após bypass femoropoplíteo com injeção percutânea de selante de fibrina

Anastomotic false aneurysms are rare after autologous vein bypass. However, such lesions have the potential for life or limb-threatening complications, and their management can be extremely challenging. Here, we describe a 62-year-old male patient who developed a false aneurysm at the proximal anastomosis after a femoro-popliteal bypass. His left upper limb cephalic vein had been used as the conduit. The false aneurysm was successfully managed by percutaneous injection of fibrin sealant. This report aims to highlight this rare complication and its successful percutaneous management, with preservation of the bypass graft.

Keywords:
anastomotic false aneurysm; vein bypass; percutaneous thrombin