Case Report Jpn. J. Vasc. Surg., 12:21-24, 2003 
Common Femoral Artery Ligation and Local Debridement:
Safe Treatment for Infected Femoral Artery Pseudoaneurysm Due to an Implanted Arterial Infusion Catheter Port
Takashi Shibuya and Tomio Kawasaki
Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine

An intra-arterial catheter was placed in a 51-year-old man in whom metastatic liver tumor was operated 5 months after pancreaticoduodenectomy for bile duct cancer. The patient noted bleeding from the wound and complained of a painful pulsatile mass in his right groin. The patient also had methicillin resistant S. aureus. A diagnosis of infected right common femoral artery pseudoaneurysm was made. The patient was taken for emergency surgery. Common femoral artery ligation and local debridement were performed. Intraoperatively, the patient had a right dorsal artery of the foot Doppler signal and a peak systolic ankle pressure above 35 mmHg during test occlusion of the common femoral artery. The surgery was uneventful, and the patient had no claudication. Detection of a Doppler signal from the dorsal artery of the foot and measurement of ankle pressure about 15 minutes after test occlusion of the femoral artery were beneficial in determining that primary femoral artery ligation and local debridement were safe and appropriate treatments.

Key words:
Intra-arterial catheter chemotherapy, Pseudoaneurysm, Femoral artery, Ligation, Doppler signal