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Pseudoaneurysm as a complication of shoulder arthroscopy
Yasuyuki Ishida1, Etsuo Chosa2, Noboru Taniguchi2
1Department of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake-cho, Miyazaki-shi, Miyazaki, 889-1692, Japan. yasu-isi@med.miyazaki-u.ac.jp.
Summary
A rare complication of shoulder arthroscopy, pseudoaneurysm, was successfully treated. Surgical excision and artery ligation resolved the issue in a 73-year-old patient with rotator cuff tear.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Medical Complications
Background:
- Shoulder arthroscopy is a common procedure for rotator cuff tears.
- Pseudoaneurysms are rare but serious vascular complications that can arise post-surgery.
Observation:
- A 73-year-old male developed a pulsating mass near the anterior portal on postoperative day 3 after arthroscopic rotator cuff repair.
- The mass, initially 5 mm, gradually enlarged and was diagnosed as a pseudoaneurysm.
Findings:
- The pseudoaneurysm was successfully managed through surgical excision.
- Ligation of the feeding artery was performed 6 weeks after the initial arthroscopic surgery.
- No recurrence of the pseudoaneurysm has been observed to date.
Implications:
- This case highlights the importance of recognizing and managing rare vascular complications after shoulder arthroscopy.
- Prompt diagnosis and surgical intervention, in consultation with vascular surgeons, are crucial for favorable outcomes.
- Further research into preventative strategies for pseudoaneurysm formation following arthroscopic procedures may be warranted.
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