Initial experience with proximal ligation for profunda femoris artery aneurysms: report of three cases

Abstract

Profunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stage. They are often found due to the presence of complicated conditions, such as rapid expansion, rupture, or acute lower limb ischemia. Surgical procedures such as aneurysmectomy and endoaneurysmorrhaphy tend to be technically challenging because of the patient status and the extent of the aneurysm. We experienced three cases of PFAAs that were treated by proximal ligation (PL) without complete control of the distal branches. The exclusion of PFAAs was confirmed by duplex ultrasound or angiography at the end of the operation. There was no mortality in the perioperative period. During a 12-month follow-up, all cases exhibited complete exclusion of aneurysms with marked size reduction. Based on these findings, we propose that PL, with a careful follow-up for PFAA exclusion and distal limb circulation, could be an alternative treatment for complicated PFAAs.

Reconstruction for rupture of profunda femoris artery aneurysm in a patient with sarcopenia

“…Ligation was an alternative choice if the aneurysm was limited to the distal PFA. Some studies have reported that if the ipsilateral femoropopliteal lesion is patent without stenosis, the ligation may be sufficient [ 4 , 8 , 9 ]. However, Igari et al argued that PFAA should be treated with both aneurysmectomy and vascular reconstruction to preserve the PFA blood flow, which may positively affect future limb salvage [ 10 ].…”

Ruptured Profunda Femoris Artery Aneurysm Successfully Treated Using Coil Embolization and Surgical Ligation: A Case Report

“…Minimization of the extent of the muscle dissection enabled the pa-tient to commence rehabilitation quickly and to recover without any decline in ADL. Shintani et al [4] reported three cases of profunda femoris artery aneurysms that were treated by proximal ligation without control of the distal branches. This approach could be an alternative option in complicated conditions.…”

Surgical Treatment for Profunda Femoris Artery Aneurysms: Five Case Reports

“…PFAAs may cause symptoms of local venous and nerve compression, which may lead to distal venous congestion and local pain. Furthermore, these aneurysms are occasionally complicated with distal embolism, limb-threatening ischemia, and rupture [ 4 ]. We herein report the results of our experience with surgical treatment for true PFAAs.…”