Minimally invasive treatment of portal pseudoaneurysm in a haemophiliac after knee arthroscopy

The formation of a pseudoaneurysm or ‘false’ aneurysm is a rare vascular complication of arthroscopic surgery. Its occurrence is even more uncommon in the background of a clotting disorder. We present a case of a recreational athlete with a history of haemophilia, who developed a pseudoaneurysm over...

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Published in:Journal of orthopaedics, trauma and rehabilitation trauma and rehabilitation, 2020-12, Vol.27 (2), p.235-239
Main Authors: Gene, Leung, Carita, Tsoi, Ryan, Lee Ka Lok, Patrick, Yung Shu Hang
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Carita, Tsoi
Ryan, Lee Ka Lok
Patrick, Yung Shu Hang
description The formation of a pseudoaneurysm or ‘false’ aneurysm is a rare vascular complication of arthroscopic surgery. Its occurrence is even more uncommon in the background of a clotting disorder. We present a case of a recreational athlete with a history of haemophilia, who developed a pseudoaneurysm over an arthroscopic portal site following arthroscopic-assisted anterior cruciate ligament reconstruction. The lesion was treated successfully with image-guided thrombin injection. We discuss the association between haemophilia and pseudoaneurym formation as well as prevention methods and treatment options.
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title Minimally invasive treatment of portal pseudoaneurysm in a haemophiliac after knee arthroscopy
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