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Case Reports
. 2025 Mar 12;17(3):e80462.
doi: 10.7759/cureus.80462. eCollection 2025 Mar.

Femoral Artery Patch Infection and Subsequent Rupture Secondary to Sinus Tract Formation in a Patient With Traumatic Burns

Ishan Deshmukh  1 , Constantino G Lambroussis  2
Affiliations
Case Reports

Femoral Artery Patch Infection and Subsequent Rupture Secondary to Sinus Tract Formation in a Patient With Traumatic Burns

Ishan Deshmukh et al. Cureus. .

Abstract

Femoral endarterectomies are among the myriad revascularization techniques used to treat peripheral arterial disease. Nonetheless, it is essential to assess individual patient factors to optimize outcomes. While rare, complications such as patch and graft infections or ruptures can occur in these procedures. These complications may be catastrophic, requiring close monitoring and swift intervention to minimize the risk of limb loss or death. This case report describes the successful treatment of a patient who developed an infection in a femoral artery patch, which resulted in rupture due to sinus tract formation following a traumatic burn injury.

Keywords: autologous patch graft; bovine pericardial patch; burn injury; patch infection; peripheral arterial diseases; sinus tracts; vascular repair.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Computed tomography angiography (CTA) of the lower extremity.
CTA image of the lower extremity indicating a diffuse atheromatous plaque marked by the red arrow in the superficial femoral artery (SFA). Similar atheromatous lesions were observed in the proximal SFA segment and common femoral artery with a complete occlusion 1.8 cm proximal to the common femoral bifurcation.
Figure 2
Figure 2. Formation of the sinus tract.
A computed tomography angiography transverse image indicating a small sinus tract marked by the green arrow from a post-surgical incision from a prior left femoral artery endarterectomy. The left common femoral artery has significant post-surgical changes consistent with a prior endarterectomy including arterial ectasia measuring 1.3 × 1.3 cm in the axial plane.
See this image and copyright information in PMC

References

    1. Arterial insufficiency and ulceration: diagnosis and treatment options. Sieggreen MY, Kline RA. https://pubmed.ncbi.nlm.nih.gov/15192492/ Adv Skin Wound Care. 2004;17:242–251. - PubMed
    1. Modified bare-back micro-retrograde tibial arterial access to facilitate peripheral endovascular therapy. Gani F, Jammeh ML, Zayed MA. https://www.jvscit.org/article/S2468-4287(23)00113-2/fulltext. J Vasc Surg Cases Innov Tech. 2023;9:101204. - PMC - PubMed
    1. Management of acute civilian vascular injuries. Lim RC Jr, Miller SE. https://doi.org/10.1016/s0039-6109(16)42638-1. Surg Clin North Am. 1982;62:113–119. - PubMed
    1. Limb ischemia during intra-aortic balloon pumping: indication for femorofemoral crossover graft. Alpert J, Parsonnet V, Goldenkranz RJ, et al. https://www.sciencedirect.com/science/article/pii/S0022522319378894?via%.... J Thorac Cardiovasc Surg. 1980;79:729–734. - PubMed
    1. Edematous bullae: an atypical presentation of reperfusion injury. A discussion of ischemic-reperfusion injury and presentation of an atypical case. Saran M, Malarkey S. https://www.cureus.com/articles/21993-edematous-bullae-an-atypical-prese... Cureus. 2019;11:0. - PMC - PubMed

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