Common Femoral Aneurysm Research Articles

“Bill's Bulge” – a 14.5cm Femoral Aneurysm Case Report and Literature Review

Introduction: True femoral aneurysms are a rare but important cause of groin swelling. Report: We report a 79 year-old male, presenting with intermittent claudication and leg oedema after 25 years of a growing left groin swelling. On examination the mass was 14.5 cm in diameter and pulsatile with an audible bruit. Distal pulses were absent. Perfusion was restored by interposition of a PTFE graft between CFA and PFA. Discussion: This case presents the largest reported true common femoral aneurysm. Conventional open repair is recommended when diameter exceeds 2.5 cm. Although endovascular techniques are evolving, they were not possible in this case. “Bill's Bulge” – a 14.5 cm Femoral Aneurysm Case Report and Literature ReviewEJVES ExtraVol. 19Issue 1PreviewTrue femoral aneurysms are a rare but important cause of groin swelling. Full-Text PDF Open Access

“Bill's Bulge” – a 14.5 cm Femoral Aneurysm Case Report and Literature Review

IntroductionTrue femoral aneurysms are a rare but important cause of groin swelling. ReportWe report a 79 year-old male, presenting with intermittent claudication and leg oedema after 25 years of a growing left groin swelling. On examination the mass was 14.5cm in diameter and pulsatile with an audible bruit. Distal pulses were absent. Perfusion was restored by interposition of a PTFE graft between CFA and PFA. DiscussionThis case presents the largest reported true common femoral aneurysm. Conventional open repair is recommended when diameter exceeds 2.5cm. Although endovascular techniques are evolving, they were not possible in this case.

A hybrid approach using a composite endovascular and open graft procedure for a symptomatic common femoral aneurysm extending well above the inguinal ligament

We report the use of a unique hybrid technique to treat a patient with a painful aneurysm extending both above and below the inguinal ligament. The patient was at high surgical risk, and endovascular treatment was not possible due to the absence of an appropriate vascular access site. Under local anesthesia, this aneurysm was treated using both a stent graft and a traditional Dacron graft for the iliac and femoral portions, respectively. Simultaneously, a popliteal aneurysm was treated endovascularly through a jump graft, which was used to bypass a short occlusion at the origin of the superficial femoral artery. Hybrid techniques can be an alternative approach in high-risk patients where endovascular procedures cannot be applied.

Aneurysm of Lateral Circumflex Femoral Artery in Association with Multiple Atherosclerotic Aneurysms

Femoral aneurysms are uncommon and are frequently associated with other aneurysms, particularly those of the aorta and popliteal arteries. Other peripheral aneurysms are even more rare. As far as we are aware, only one aneurysm of the lateral circumflex artery has been previously described. We describe such an aneurysm in association with a common femoral aneurysm on the same side, an abdominal aortic aneurysm and an iliac aneurysm on the contralateral side.

Abdominal Aortic Horseshoe Kidney, and Carotid Disease

A 72-year-old male presented to a local hospital with a 2-day history of significant abdominal and back pain. The attending physician noted that the patient had a 10 cm abdominal aortic aneurysm, and a CT scan of the abdomen was obtained. In addition to the aneurysm, the CT scan showed a horseshoe kidney. The patient had a creatinine level of 2.5. He had bilateral common femoral aneurysms but no history of symptomatic coronary artery disease or stroke. The patient had undergone a presumably curative pneumonectomy for very early bronchogenic carcinoma many years earlier.Following the CT scan, which did not show any evidence of fluid outside the aneurysmal lumen, the patient was emergently referred to Oregon Health Sciences University by the helicopter system and arrived at the medical center about midnight. Examination revealed that the abdomen was tender and the aneurysm was quite painful. The patient described having moderate pain at rest. He did not display any signs of peritoneal irritation. Vital sign...

Multiple arteriosclerotic arterial aneurysms.

Among 1,488 patients with arteriosclerotic aneurysms of the abdominal aorta and its peripheral branches seen at the University of Michigan Medical Center from 1960 to 1971, 57 (3.9%) had multiple arteriosclerotic aneurysms. Multiple aneurysms occurred in 83% of patients who had at least one peripheral aneurysm. Among the 37 patients with a common femoral aneurysm, 95% had a second aneurysm, 92% had an aorto-iliac aneurysm, and 59% had bilateral femoral aneurysms. Among the 36 patients with a popliteal aneurysm, 78% had a second aneurysm, 64% had an aorto-iliac aneurysm, and 47% had bilateral popliteal aneurysms. The importance of suspecting a nonpalpable aorto-iliac aneurysm in the presence of a peripheral aneurysm, and the usefulness of arteriography are emphasized. Planned staged resection and careful followup are required to manage these patients successfully.