Abstract

Opinion

Post-catheterization Common Femoral Artery Pseudoaneurysm in a Patient with a Mechanical Mitral Valve Requiring Anticoagulation: A Case Report

Afolasayo Aromiwura*, Pooja Gandhi, Muhammad Khan and and Jishanth Mattumpuram*

Published: 15 July, 2024 | Volume 8 - Issue 2 | Pages: 072-073

Iatrogenic femoral pseudoaneurysms are a rare complication of transfemoral vascular access. We present a case of a 65-year-old woman with a mechanical mitral valve requiring warfarin, who developed a femoral pseudoaneurysm four days after cardiac catheterization with femoral access. The patient developed a 17 x 10 x 17 cm rectus sheath hematoma and was treated with ultrasound-guided thrombin injection. Anticoagulation was held for three days while the patient was monitored for further bleeding and later restarted based on shared decision-making, given the risk of valve thrombosis. There are few guidelines regarding the re-initiation of anticoagulation in high-risk bleeding patients with mechanical mitral valves. Non-invasive coronary computed tomography angiography should be considered in patients on anticoagulation who require non-emergent cardiac ischemic evaluation.

Read Full Article HTML DOI: 10.29328/journal.jro.1001068 Cite this Article Read Full Article PDF

Keywords:

Common femoral artery; Pseudoaneurysm; Rectus sheath hematoma; Mechanical mitral valve

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