Common femoral artery aneurysm repair using bifurcated graft

Abstract

Common femoral artery aneurysms are rare, and surgical repair is indicated if they are significantly large, or if they are symptomatic (thrombosis causing limb ischaemia and compression of surrounding structures). Synthetic grafts are preferred, especially in cases involving large aneurysms, or the bifurcation of the common femoral artery. We present a case of bilateral common femoral artery aneurysms extending into the bifurcation repaired using a synthetic graft which is traditionally used for an axillobifemoral bypass. This technique was employed due to the specific anatomical relationship between the profunda femoris and the superficial femoral artery in our patient. We will also review the current literature on the operative approaches to repair of common femoral artery aneurysms.

Critical Limb Ischaemia for Thrombosed Common Femoral Artery Aneurysm: A Successful Hybrid Treatment

“…It can be caused by the weakening of the arterial wall, most often secondary to atherosclerosis. Traumatic aneurysmal change can occur either through direct trauma, iatrogenesis (angioplasty, groin surgery), or intravenous drug abuse [1][2][3].…”

“…The decision to repair an FAA primarily depends on the clinical presentation, the aneurysm diameter, and how fit the patient is for open surgery, the predominant method of repair. Consideration should be given to repair of asymptomatic femoral artery aneurysms when they exceed about 2.5 cm in diameter [1,11]. For…”

“…For more complicated FAAs of the common femoral artery, the uninvolved branch is implanted into the interposition graft with an end-to-side anastomosis [6]. For aneurysms that involve the origins of both the superficial femoral and profunda femoris arteries, the use of a Dacron bifurcated graft has been described [1].…”

“…True atherosclerotic aneurysms of the common femoral artery (CFA) are rare and often associated with other peripheral or aortic aneurysms. Degenerative aneurysms of the lower extremity most commonly involve the popliteal artery, while they are rarely detected in the femoral region thus, there are a little number of cases reported in the literature and its natural history is not well defined [1][2][3]. As with any peripheral or a visceral aneurysm, the main risks associated with femoral artery aneurysms include thrombosis/ occlusion, fistulization, distal embolization, and rupture.…”

“…As with any peripheral or a visceral aneurysm, the main risks associated with femoral artery aneurysms include thrombosis/ occlusion, fistulization, distal embolization, and rupture. We present a case of thrombosed common femoral artery aneurysm, treated with a hybrid technique [1][2][3].…”