Abstract
We report a case of superficial femoral artery pseudoaneurysm due to methicillin-resistant Staphylococcus aureus (MRSA). An 81-year-old man had suffered from MRSA pneumonia and had been treated by antibiotics, respiratory care, and tube feeding. Three months later, he had fever of 38℃ was present. The left thigh was swollen and a pulsatile mass was palpated. Multislice computed tomography revealed left superficial femoral artery aneurysm with a lobulated contour. The aneurysm was 50 mm in diameter. We performed resection and extensive debridement of the aneurysm and the surrounding tissues, followed by femorotibial bypass with an autologous vein which was placed laterally. The patient achieved excellent wound healing and granulation tissue formation with vacuum-assisted closure treatment. Tissue culture of the aneurysm wall revealed MRSA.
