Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

Kentaro Arakawa; Hideo Himeno; Jin Kirigaya; Fumie Otomo; Hidefumi Nakahashi; Satoru Shimizu; Mitsuaki Endo; Kazuo Kimura; Satoshi Umemura

doi:10.3400/avd.cr.15-00097

Case Reports

Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

Kentaro Arakawa, Hideo Himeno, Jin Kirigaya, Fumie Otomo, Hidefumi Nakahashi, Satoru Shimizu, Mitsuaki Endo, Kazuo Kimura, Satoshi Umemura

Author information

Kentaro Arakawa
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Hideo Himeno
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Jin Kirigaya
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Fumie Otomo
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Hidefumi Nakahashi
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Satoru Shimizu
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Mitsuaki Endo
Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
Kazuo Kimura
Division of Cardiology, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
Satoshi Umemura
Department of Medical Science and Cardiorenal Medicine, Yokohama City University, School of Medicine, Yokohama, Kanagawa, Japan

Keywords: pulmonary thromboembolism, venous aneurysm, femoral catheterization

JOURNAL FREE ACCESS

2016 Volume 9 Issue 1 Pages 58-61

DOI https://doi.org/10.3400/avd.cr.15-00097

Browse “Advance online publication” version

Details

Abstract

A 51-year-old female with dilated cardiomyopathy underwent a cardiac catheterization via right common femoral vein and artery. Prolonged compression with a bandage and extension of supine bed rest were needed. Immediately after standing up, she lost consciousness and developed electromechanical dissociation. The echocardiogram revealed a huge thrombus filling the main pulmonary trunk and massive enlargement of right ventricle, which suggested acute pulmonary thromboembolism (PTE). Images of computed tomography taken 2 months later detected a huge venous aneurysm of the right popliteal vein. Prolonged compression at the groin area might enhance blood stasis of the ipsilateral popliteal venous aneurysm, followed by life-threatening PTE.

Corresponding author

Register with J-STAGE for free!