Isolated Bilateral Profunda Femoris Artery Aneurysm

Gemayel, Gino; Mugnai, Damiano; Khabiri, Ebrahim; Sierra, Jorge; Murith, Nicolas Paul Henri; Kalangos, Afksendiyos

doi:10.1016/j.avsg.2010.02.025

Cited by 15 publications

(15 citation statements)

References 5 publications

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“…It occurs more often in the men than women like an aneurysm elsewhere. The incidence of a bilateral aneurysm is 5%, which is similar to the aneurysm of the femoral artery [2,12,13]. …”

Section: Discussionmentioning

confidence: 99%

The True Deep Femoral Artery Aneurysm: A Case Report

Jang

Park

2017

VSI

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A 55-year-old man with a palpable pulsatile mass and pain in his left thigh was presented to us. He had no history of trauma in his left leg, interventions, operation, or medical diseases, including cardiac valve disease, endocarditis, and systemic infection. The size of the aneurysm was 10 cm×7 cm with a mural thrombus in ultrasonography and multidetector computer tomography. There was no evidence of other aneurysms or occlusive lesions in the other arteries. The aneurysm was resected without a vascular reconstruction of the deep femoral artery. The patient’s symptom improved rapidly. The patient had an uneventful postoperative recovery without complications. We report a case of true deep femoral artery aneurysm, which was successfully treated with resection of an aneurysm without a vascular reconstruction.

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“…It occurs more often in the men than women like an aneurysm elsewhere. The incidence of a bilateral aneurysm is 5%, which is similar to the aneurysm of the femoral artery [2,12,13]. …”

Section: Discussionmentioning

confidence: 99%

The True Deep Femoral Artery Aneurysm: A Case Report

Jang

Park

2017

VSI

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“…It has been reported that PFAAs are much more common in males (92–100%) than in females, and most PFAAs are discovered in the sixth to seventh decades of life [ 3 ]. Furthermore, it has been reported that most patients with PFAAs have a decades-long history of smoking and hypertension [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Following the diagnosis of PFAA, elective surgical repair is recommended whenever the patient's general condition allows for surgical intervention [ 3 ]. A reasonable recommendation is to repair PFAAs measuring over 20 mm in diameter [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most PFAAs are pseudoaneurysms resulting from iatrogenic injury or trauma [ 2 ], while true aneurysms of the profunda femoris artery (PFA) are much less frequent. Aneurysmal changes in PFA have been reported to be rare because several muscles cover the PFA in this anatomical location [ 3 ]. Based on the anatomical location, diagnosing small and asymptomatic PFAAs is difficult.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment for Profunda Femoris Artery Aneurysms: Five Case Reports

Igari

Kudo

Toyofuku

et al. 2015

Case Reports in Vascular Medicine

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Profunda femoris artery aneurysm (PFAA) is an extremely rare entity, with most cases being asymptomatic, which makes obtaining an early diagnosis difficult. We herein report a case series of PFAA, in which more than half of the PFAAs, which presented with no clinical symptoms, were discovered incidentally. All PFAAs were treated surgically with aneurysmectomy with or without vascular reconstruction. In cases involving a patent superficial femoral artery (SFA), graft replacement of the profunda femoris artery (PFA) is not mandatory; however, preserving the blood flow of the PFA is necessary to maintain lower extremity perfusion in patients with occlusion of the SFA. Therefore, the treatment of PFAAs should include appropriate management of both the aneurysmectomy and graft replacement, if possible.

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“…Die Möglichkeiten einer endovaskulären Therapie sollten in jedem Fall in Betracht gezogen werden. die Aneurysmaausschaltung generell bei einem Maximaldurchmesser von > 2 cm empfohlen [16,21,34,35]. Diese Empfehlung ist allerdings eingeschränkt durch die Tatsache eines Publikationsbias, der postuliert werden muss, da hauptsächlich symptomatische AAPF publiziert und damit wahrscheinlich in der Literatur häufiger als asymptomatische AAPF berichtet wurden.…”

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