Popliteal Venous Pseudoaneurysm and Arteriovenous Fistula after Orthopedic Surgery

Bertrand Saint-Lèbes, Emilie Chastonay, Olivier Borens, Céline Dubuis, Sébastien Déglise, François Saucy, Hervé Rousseau, Jean-Marc Corpataux

Department of Orthopaedic and Trauma Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Department of Thoracic and Vascular Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Department of Vascular Interventional Radiology, University Hospital, Toulouse, France.

DOI: 10.4236/wjcs.2013.31001                

Abstract

Arthroscopically assisted reconstruction of the anterior cruciate ligament (LCA) is generally a safe and effective procedure with a low rate of vascular complications. We report on a case of a 33-year-old woman with a combined arteriovenous fistula (AVF) and venous popliteal aneurysm that developed 6 months after arthroscopic anterior cruciate ligament reconstruction. At clinical exam the patient presented with left popliteal and calf pain, a tender pulsatile mass posterior to her left knee, popliteal bruit and a thrill at the popliteal fossa. CT scan showed an AVF arising from the left popliteal artery. An aneurysm was seen to fill at the same time as the popliteal vein. Findings at open surgical revision included AVF between the tibioperoneal trunk and the popliteal vein and a venous popliteal aneurysm at the level of the arteriovenous communication. The aneurysm and fistula were repaired. The patient had an uneventful follow up with complete recovery. We also report an endovascular treatment of a iatrogenic arterio-venous fistula.

Keywords

Arthroscopy; Complication; Arteriovenous Fistula; Anterior Cruciate Ligament; Venous Aneurysm

Conflicts of Interest

The authors declare no conflicts of interest.

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