Abstract

BackgroundA femoral aneurysm is a weakness and bulging in the femoral artery wall located in the thigh. Femoral aneurysms can burst, which may cause uncontrolled bleeding and life-threatening conditions. The aneurysm may also cause a blood clot, showering emboli, potentially resulting in leg ischemia and amputation. Case reportA 49-year-old man with hypertension presented significant swelling in his right thigh. The patient had a history of surgery for arteriovenous fistula repair. The arteriovenous fistula in the thigh was caused by a bullet injury during the war. Diagnosis of the superficial femoral artery aneurysm was determined using magnetic resonance angiogram. The aneurysm was surgically excised and a prosthetic vascular graft was inserted. DiscussionThe exact cause of femoral aneurysms is unknown, although atherosclerosis and hypertension may play a key role. Trauma to the artery may also be a contributing factor. Long-standing occult arteriovenous fistula plays a significant role in the cause of distal aneurysms. ConclusionFemoral aneurysms are usually treated surgically. A surgeon will replace the artery with a graft or create a bypass around the area of the artery where the aneurysm is present.

Highlights

  • Peripheral arterial aneurysms are rare, and superficial femoral arterial (SFA) aneurysms are sporadic [1,2,3]

  • We describe a case of an SFA aneurysm in a patient who was successfully treated with an artificial blood vessel graft

  • True femoral artery aneurysms are attributed to weakness in the arterial wall, which is usually formed by atherosclerosis

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Summary

Introduction

Peripheral arterial aneurysms are rare, and superficial femoral arterial (SFA) aneurysms are sporadic [1,2,3]. SFA aneurysms are not associated with any typical symptoms, and their early diagnosis is difficult. These aneurysms have a high rate of rupture, and surgery plays a vital role in their treatment. Standard methods have not yet been established because of the rarity of SFA aneurysms [3,4,5,6]. They occur in older men, often with other manifestations of atherosclerosis. SFAs can reach a large size, and symptoms such as limb-threatening ischemia, embolization, or tissue loss may occur; rupture rarely occurs. The work has been reported in line with the SCARE [7]

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