A Rare Case of Mycotic Common Femoral Artery Pseudoaneurysm from Septic Ankle Arthritis: Surgical and Endovascular Considerations

This case demonstrates the effective combination of autologous in situ femoral vein reconstruction and staged endovascular revascularization for a mycotic pseudoaneurysm in the setting of bacteremia. Multidisciplinary coordination, careful operative sequencing, and rigorous infection control were essential to achieving durable limb salvage.Clinical ImpactIn select cases, complex mycotic aneurysms with peripheral vascular disease can be managed with a staged hybrid approach that combines vascular reconstruction with endovascular intervention, reducing the need for multiple open procedures. Employ a multidisciplinary approach with careful sequencing and access planning to protect grafts, control infection, and optimize limb salvage.