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

Abstract

A 78-year-old man developed pain and swelling in his right groin. Computed tomography revealed a ruptured aneurysm of the right profunda femoris artery. Reconstruction of the profunda femoris artery was not required because the patient did not have any evidence of peripheral artery occlusive disease and the ipsilateral internal iliac artery was patent. Thus, transcatheter coil embolization was performed, followed by ligation of the proximal portion of the aneurysm. The patient's postoperative course was uneventful. The patient had no neurological complications. On postoperative day 19, the patient was discharged.

Surgical, endovascular, and hybrid treatment of deep femoral artery aneurysm: three case reports

“…(3) Coil embolization has been reported as useful non-surgical alternative if the aneurysm involves distal branches of DFA. (7,8) In the presented case 2, ruptured right DFAA was treated by hybrid repair with proximal direct ligation and distal embolization using Amplatzer vascular plug because the distal artery of DFAA was large measuring 5mm in diameter. When distal branches are large in diameter, prompt embolization is possible by using vascular plugs even in emergency case of ruptured aneurysm.…”