Atherosclerotic aneurysms of the profunda femoris arteries—Case report and literature review

Abstract

The case of a 71-year-old man with aneurysms of bilateral profunda femoris arteries associated with socalled ''arteriomegaly'' is presented. Both aneurysms were resected and only the left lateral femoral circumflex artery was reconstructed. Atherosclerotic aneurysms of the profunda femoris artery are rarely encountered, but once diagnosed, surgical repair is generally recommended to avoid complications. However, there are no cases presenting with complications of diameters less than 2 cm; therefore, we suggest that a profunda femoris aneurysm over 2 cm in diameter is an indication for surgical treatment. If the superficial femoral artery is patent, ligation without reconstruction of the profunda femoris artery does not cause severe leg ischemia; so that in such cases, reconstruction of the profunda femoris artery is not necessary.

A case of deep femoral artery aneurysm found with superficial femoral artery aneurysm

“…When symptomatic, there was a palpable mass with pain and edema in the lower leg 4,6,7) . It should be noted that DFA aneurysms have a high risk of rupture (13-44% have been reported [6][7][8] ). These rates are higher than those for common femoral artery aneurysms 4,6,7) .…”

“…The diagnosis of a DFA aneurysm is difficult. This is because the DFA is surrounded by the adductor muscle, so it often progresses asymptomatically 8 ) . Some reported that 73% of the patients were asymptomatic.…”

“…DFA aneurysms are difficult to diagnose. Because DFA is surrounded by adductor muscles, aneurysms progress asymptomatically 8 ) . However, it has been reported that there is a higher risk of rupture in DFA aneurysms than common femoral artery aneurysms 4 , 6 , 7 , 8 ) , and early intervention is often required.…”

“…Because DFA is surrounded by adductor muscles, aneurysms progress asymptomatically 8 ) . However, it has been reported that there is a higher risk of rupture in DFA aneurysms than common femoral artery aneurysms 4 , 6 , 7 , 8 ) , and early intervention is often required. In this paper, we consider the treatment method and intervention timing of DFA aneurysms through a case incidentally discovered with a superficial femoral artery aneurysm (SFA).…”