Asymptomatic Profunda Femoris Artery Aneurysm: Diagnosis and Rationale for Management

Very bad clinical aspect towards diagnosis of deep femoral artery injury: Hypovolemic shock

“…In the early period, it is difficult to diagnose profunda femoral artery injuries. [12] In our case, the patient had no significant bleeding when he was in the emergency department and before admission to hospital, wound area was bandaged. Hemodynamic parameters were stable but within minutes progressive hypotension and confusion were occurred and then the patient was immediately operated.…”

“…[1] In these patients, delayed diagnosis and treatment may be due to late admission to emergency department, presence of pulses on related lower limb, and also not causing arterial circulatory disorders. In our hospital, 17-year-old male patient with penetrating injury on left lateral part of the thigh was brought to the emergency department.…”

“…[1] The etiologies of vascular injuries especially in young males, in our country, 50-70% are gunshot injury and stab wounds. [23] Early diagnosis and appropriate treatment can reduce mortality and morbidity in vascular injuries.…”

“…Significant contribution to the development of collateral vessels and the lower extremity arterial circulation, the profunda femoral artery ligation is not recommended. [123] In peripheral vascular diseases with diabetic and non-diabetic, profunda femoral artery is the most considerable vessel, limb preservation of the infrapopliteal region through the nutrition with providing of collateral circulation. [45]…”

Endovascular Repair of a Large Profunda Femoris Artery Pseudoaneurysm

“…Other symptoms of PFAAs include local compression of surrounding structures such as veins or nerves and thrombosis leading to ischemia and rupture. Moreover, PFAAs can serve as a distal source of emboli [1, 3, 8]. Our patient presented solely with a swelling of the left thigh with an associated palpable thrill.…”