Infected femoral artery pseudoaneurysm in drug addicts: The beneficial use of the internal iliac artery for arterial reconstruction

Usual clinical presentation of infected femoral artery pseudoaneurysm in drug addicts. Note the poor hygiene of the inguinal area.

A, Intra-arterial digital subtraction angiography demonstrating a large aneurysm involving the right common femoral artery. B, Contrast-enhanced computed tomographic scan demonstrating contained retroperitoneal rupture of a large infected femoral artery pseudoaneurysm.

Stages of the operation. A, External iliac artery control through a separate retroperitoneal approach. B and C, Mobilization and harvesting of the internal iliac artery. D, Extensive debridement and pseudoaneurysm excision with a large arterial deficit left. E, Successful repair with an internal iliac artery patch.