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Pseudoaneurysm - A Late and Rare Occurrence Following Shoulder Arthroscopy. | LitMetric

Pseudoaneurysm - A Late and Rare Occurrence Following Shoulder Arthroscopy.

J Orthop Case Rep

Department of Trauma and Orthopaedics, Watford General Hospital, West Hertfordshire NHS Trust, Watford, Hertfordshire, UK.

Published: July 2023

AI Article Synopsis

  • The incidence of vascular injuries from arthroscopic surgeries is low, at 0.005%, with pseudoaneurysms making up 11% of those injuries.
  • A case involving a 76-year-old woman revealed a pseudoaneurysm in the right shoulder, diagnosed 10 years post-arthroscopy, and was treated successfully.
  • It's important to consider the possibility of vascular injuries like pseudoaneurysms in patients who have swelling at the surgical site, even years after the surgery.

Article 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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10379266PMC
http://dx.doi.org/10.13107/jocr.2023.v13.i07.3756DOI Listing

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