A giant anastomotic late pseudoaneurysm of aortobifemoral graft in the groin: Treatment and management of complications

Anastomotic pseudoaneurysm is a late complication secondary to graft materials dehiscence due to degeneration, and the femoral artery is riskier than others. Surgical repair is usually recommended for femoral pseudoaneurysms of >2 cm. Redo surgery of the groin brings an ascending risk of lymphorrhea or lymphocele, a condition which has no consensus on the effective treatment. In this article, we present the treatment and management of complications of a rare, non-infected giant left groin anastomotic pseudoaneurysm due to late graft dehiscence in a patient who underwent aortobifemoral graft 20 years ago for Leriche syndrome.

Keywords : Leriche syndrome, lymphorrhea, polidocanol foam pseudoaneurysm, vascular graft separation