Clinical Significance of Arteriosclerotic Femoral Artery Aneurysms

Bilateral femoral artery aneurysms and bilateral common femoral vein thromboses

“…4 Femoral artery aneurysms may present as pulsatile masses in the groin or thigh, or may be asymptomatic. [1][2][3] Aneurysmal growth can cause compression of surrounding structures and may present as local discomfort, leg edema, varicosities, phlebitis, or referred pain from nerve irritation. 2 The diagnosis can often be made on physical examination.…”

“…Arteriography should be used to examine the distal circulation if patients present with ischemic symptoms. 3 Femoral artery aneurysms can have significant complications. A review of the literature suggests that rupture may occur in 10-47%, [1][2][3] thrombosis in 15-42%, [1][2][3] and distal embolization in 0-26%.…”

Infra-Inguinal Aneurysms – Threat to Life and Limb?

“…Femoral pseudoaneurysms on the other hand are usually symptomatic with a reported complication rate of up to 47% [4]. Rupture is relatively uncommon for noninfected femoral PAs, with a reported incidence of 1 -12% [5,6], but is potentially catastrophic [7]. Femoral PAs may present with acute thrombosis associated with substantial risk of limb loss (up to 28%) if collateral circulation is poor [6].…”

“…Rupture is relatively uncommon for noninfected femoral PAs, with a reported incidence of 1 -12% [5,6], but is potentially catastrophic [7]. Femoral PAs may present with acute thrombosis associated with substantial risk of limb loss (up to 28%) if collateral circulation is poor [6]. Hence, timely diagnosis and management before complications ensue is paramount.…”

“…Not only do infra-inguinal aneurysms pose a threat to limb, there is also an association between femoral, popliteal and aortic aneurysms, with the incidence of aorto-iliac aneurysms in those with popliteal and femoral aneurysms up to 62% and 85% respectively [6,8].…”