Pseudoaneurysm formation after embolization of giant arteriovenous malformation of the lower limb associated with Parkes Weber syndrome: A case report and literature review

A 63-year-old woman presented with a giant arteriovenous malformation (AVM) of the lower limbs associated with Parkes Weber syndrome (PWS). The AVM was supplied by 4 branches of the right profunda femoris artery and 4-stage embolization was performed. At 67 years of age, she developed a pseudoaneury...

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Published inRadiology case reports Vol. 19; no. 11; pp. 4766 - 4774
Main Authors Yasumura, Hiroto, Tao, Koji, Imada, Ryo, Yamashita, Yushi, Tateishi, Naoki, Arata, Kenichi, Kinjo, Tamahiro
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.11.2024
Elsevier
Subjects
Amputation
Arteriovenous malformation
Case Report
Embolization
Parkes Weber syndrome
Pseudoaneurysm
Embolization
Parkes Weber syndrome
Arteriovenous malformation
Pseudoaneurysm
Amputation
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Summary:A 63-year-old woman presented with a giant arteriovenous malformation (AVM) of the lower limbs associated with Parkes Weber syndrome (PWS). The AVM was supplied by 4 branches of the right profunda femoris artery and 4-stage embolization was performed. At 67 years of age, she developed a pseudoaneurysm due to the recanalization of a coiled profunda femoris artery branch arterial aneurysm. We performed re-embolization of the coiled profunda femoris artery and observed its shrinkage, but 2 months later, the pseudoaneurysm began to expand again, having a fatal course. This case indicates that battles against giant AVM-associated PWS follow a long and convoluted path. We present this case with reviewing 15 previously reported cases to improve our management of PWS.
Bibliography:ObjectType-Case Study-2
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ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.07.117