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

DOI Web Site 参考文献10件
  • Arakawa Kentaro
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Himeno Hideo
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Kirigaya Jin
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Otomo Fumie
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Nakahashi Hidefumi
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Shimizu Satoru
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Endo Mitsuaki
    Division of Cardiology, Fujisawa City Hospital, Fujisawa, Kanagawa, Japan
  • Kimura Kazuo
    Division of Cardiology, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
  • Umemura Satoshi
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University, School of Medicine, Yokohama, Kanagawa, Japan

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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.

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