Devaraj A, Elsakka M, Makki D, Zamir M, Dubey V. Pseudoaneurysm - A Late and Rare Occurrence Following Shoulder Arthroscopy.
J Orthop Case Rep 2023;
13:65-69. [PMID:
37521384 PMCID:
PMC10379266 DOI:
10.13107/jocr.2023.v13.i07.3756]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Revised: 05/28/2023] [Indexed: 08/01/2023] Open
Abstract
Introduction
The incidence of vascular injuries from arthroscopic surgeries has been reported to be 0.005%. Pseudoaneurysms account for 11% of those injuries.
Case Report
In this case report, we discuss a 76-year-old female who presented with a pulsatile swelling in the right shoulder after 10 years following arthroscopic rotator cuff repair. Imaging confirmed the diagnosis of a posterior circumflex artery pseudoaneurysm. The patient was successfully embolised using a transradial approach with thrombosis of the pseudoaneurysm.
Conclusion
Vascular injuries following arthroscopic shoulder surgery are rare. However, a pseudoaneurysm should be considered in patients who present with swelling at the surgical site, regardless of the post-operative interval.
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