Pseudo-Aneurysm: Care Instructions

Overview

A pseudo-aneurysm is a hole in the wall of a blood vessel (artery). The blood from inside the artery can then leak out of the artery. It is most common in cardiac, femoral, visceral, and aortic arteries. It can be caused by the puncture of an artery during a medical test, such as certain heart tests. People who take blood thinners are more likely to develop a pseudo-aneurysm.

Some pseudo-aneurysms heal without treatment. Those that continue to grow or remain large may eventually need treatment. The doctor may inject medicine through a needle to make the blood clot in the pseudo-aneurysm. Less often, the doctor may also use pressure (compression) to make the blood clot. If these do not work, you may need surgery to repair the hole in the artery.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
• Ask your doctor what type and level of activity is safe for you.
• Manage blood pressure. A healthy lifestyle along with medicines may help you lower your blood pressure.
• Manage cholesterol to help keep your blood vessels healthy. A healthy lifestyle along with medicines may help you manage cholesterol.
• If you smoke, vape, or use other tobacco or nicotine products, try to quit. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good.
• Eat heart-healthy foods. These include fruits, vegetables, whole grains, fish, and low-fat or nonfat dairy foods. Limit sodium, alcohol, and sweets.
• Stay at a weight that's healthy for you. Talk to your doctor if you need help losing weight.
• Manage other health problems. If you think you may have a problem with alcohol or drug use, talk to your doctor.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You have sudden chest pain and shortness of breath, or you cough up blood.
• You passed out (lost consciousness).

Contact your doctor now or seek immediate medical care if:

• You have sudden or increasing pain in your groin.
• Your leg or foot is cool or pale or changes color.
• You have tingling or numbness in your foot.

Watch closely for changes in your health, and be sure to contact your doctor if:

• You do not get better as expected.