Case Report: Treatment of Infected Femoral Artery Pseudoaneurysm (IFAP) in a High-Risk Female Patient

Abstract

Abstract: Infected femoral artery pseudoaneurysm (IFAP) is a rare but potentially life-threatening vascular condition. Its management poses significant challenges, especially in patients with complex comorbidities. We present a case of a 66-year-old female patient diagnosed with an infected pseudoaneurysm of the left superficial femoral artery (SFA), with a background of obesity, type 2 diabetes mellitus, hypertension, dyslipidemia, and Cushing’s syndrome secondary to long-term corticosteroid use. The patient underwent a staged treatment strategy, including initial endovascular exclusion of the aneurysm with a covered stent, surgical abscess debridement with negative pressure wound therapy (VAC system), and subsequent femoropopliteal bypass using an in-situ great saphenous vein graft. Outcome: The patient achieved full recovery without signs of limb ischemia at the 12-month follow-up. This case illustrates that a combined endovascular and surgical approach may be an effective and limb-preserving strategy for managing IFAP in high-risk patients with multiple comorbidities.