SURGICAL MANAGEMENT OF FEMORAL ARTERY PSEUDOANEURYSM FOLLOWING CORONARY ANGIOGRAPHY IN A COMPLEX COMORBID ELDERLY PATIENT: A CASE REPORT

Femoral artery pseudoaneurysm is a significant complication of endovascular procedures, particularly in elderly and comorbid patients.This report aims to present a case of iatrogenic femoral artery pseudoaneurysm following coronary angiography in an elderly patient and to emphasize the importance of early diagnosis and appropriate intervention to prevent complications.A 70-year-old female with multiple comorbidities presented with right inguinal swelling and pain four months after undergoing coronary angiography via the right femoral artery.Imaging revealed a 31×40 mm pseudoaneurysm connected to the femoral artery.Due to symptom progression, surgical exploration was performed, and a 2 mm arterial wall defect was repaired with primary suturing.The postoperative course was uneventful.This case report emphasizes that early recognition and timely surgical management of pseudoaneurysms may prevent unfavorable outcomes and lead to favorable recovery.