HomeClinicalSevere pain and swelling in the right groin

Severe pain and swelling in the right groin

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient Presentation

    • A 72-year-old woman was admitted because of dispnea and clinical signs of heart failure.
    • She presented with shortness of breath and reduced physical ability.
    • Echocardiography revealed severe aortic stenosis, reduced left ventricular function and pleural effusion.
    • Based on the overall patient’s condition, transcatheter aortic valve repair (TAVI) was indicated by the heart team as the treatment of choice.
    • The TAVI procedure was performed as indicated and planned (Figure 1a + b).
    • During the implantation, the introduction of the large device via the right iliac arteries was difficult, but finally possible.
    • After the end of the procedure, the patient reported severe pain at the right groin.

    An urgent CT angiogram was performed (Figure 2a-d).