Aneurysm Of Profunda Femoris Artery Research Articles

Arteriomegaly with synchronous true aneurysms; Management of Common Femoral Artery and Profunda Femoris Artery aneurysms in a 70-year-old male - A case report.

Introduction and importanceArteriomegaly is characterized by an abnormal elastic defect of arterial vessels, which causes them to become elongated and tortuous. This raises the risk of limb loss due to thromboembolism, bleeding, infection, aneurysmal degeneration, dissection, or rupture. Despite asymptomatic presentations, surgical intervention could be warranted to plummet the morbidity and mortality associated with this pathology.Case presentationWe report the case of a 70-year-old male who presented with intermittent claudication in the left lower limb at a 100 m. Clinical examination revealed a pulsatile mass in the left groin with absent pulses in the left Popliteal and Pedal arteries. Radiology demonstrated a diffuse enlargement of the Abdominal Aorta with an infrarenal AAA, a L-CFA aneurysm, and a L-PFA aneurysm accompanied by occlusion of the L-SFA. Open surgical repair was achieved.Clinical discussionOur patient was managed by arterial ligation and surgical excision of both concomitant aneurysms where we placed a Dacron graft from the L-CIA to the branch of the L-PFA whilst placing a supported ePTFE graft from the previously mentioned Dacron graft of the deep femoral branch to the left below-knee Popliteal Artery.ConclusionArteriomegaly is considered an exceptionally rare and progressive disease. Patients affected by this pathology have higher incidence rates of aneurysmal degeneration and even loss of the affected limb, especially if it's a peripheral aneurysm. Bypass surgical repair is feasible with positive outcomes, and it is prophylactic against the wide spectrum of dire consequences for patients.

Vascular surgical management of profunda femoris artery aneurysms: A single center experience.

Profunda femoris artery aneurysms (PFAAs), which comprise true profunda femoris artery aneurysms (TPFAAs) and profunda femoris artery pseudoaneuryms (PFA PSAs), are rare but clinically significant diseases of the peripheral arterial vasculature. Our aim is to describe our institution's 15-year experience with PFAAs (TPFAAs and PFA PSAs) to provide insight into patient characteristics, diagnostic imaging modalities, and surgical interventions that contribute to clinically important outcomes in patients with PFAAs. We conducted a retrospective study at our institution using our radiology database. We identified six patients with PFA PSAs and four patients with TPFAAs. The clinical presentation of PFA PSAs included a triad of thigh pain, bleeding, and unexplained anemia. There was variety in the aetiologies of PFA PSAs, arising from catheterizations, upper thigh fractures, anastomotic complications, or unknown causes. Most patients with PFA PSAs had hypertension and coronary artery disease, and half of our cohort had peripheral vascular disease. All patients were imaged with duplex ultrasonography (DUS) or computed tomography (CT), the latter being more accurate. All patients with PFA PSAs underwent endovascular treatment, including glue, thrombin, or coil embolization as well as stent-graft insertions. All TPFAAs presented to our center were small and incidentally discovered, explaining the conservative management of our TPFAAs. Two of the four TPFAAs were idiopathic in nature, while one was attributed to post-stenotic dilatation, and another was found in a patient with Ehlers Danlos Syndrome. There was an association between TPFAAs and multiple synchronous or asynchronous aneurysms. Pseudoaneurysms of the PFA are mostly iatrogenic in nature and can present with the triad of thigh swelling, bleeding, and unexplained anemia. If the clinical picture is suggestive of a PFA PSA but DUS does not detect a pseudoaneurysm, CT may be added as a more accurate imaging modality. Endovascular embolization is used in smaller pseudoaneurysms and in poor surgical candidates. Multiple glue, coil, or thrombin injections may be required to fully thrombose the pseudoaneurysm sac. True aneurysms of the PFA are associated with synchronous/asynchronous aneurysms and small TPFAAs should be carefully monitored, as there is a risk of enlargement and rupture.

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

Profunda femoris artery aneurysm (PFAA) is rare and has a high incidence of rupture. Herein, we report the case of an 80-year-old man who developed sarcopenia after gastric surgery. The patient presented to our hospital with a reddish thigh and was diagnosed with PFAA rupture. We performed aneurysmectomy and graft interposition in emergency. Postoperative enhanced computed tomography revealed an interposed graft, and the patient was discharged on postoperative Day 7. We considered that the PFAA patients with sarcopenia has a high risk of rupture because the muscles surrounding the profunda femoris artery became weak, and should be followed-up closely.

A Case of Concomitant Treatment of Endovascular Repair for Abdominal Aortic Aneurysm and Open Surgery for Profunda Femoris Artery Aneurysm

A Case of Concomitant Treatment of Endovascular Repair for Abdominal Aortic Aneurysm and Open Surgery for Profunda Femoris Artery Aneurysm

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

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.

A Case of Isolated Profunda Femoris Artery Aneurysm with Gait Disturbance Due to the Femoral Nerve Palsy

A Case of Isolated Profunda Femoris Artery Aneurysm with Gait Disturbance Due to the Femoral Nerve Palsy

Giant True Profunda Femoris Aneurysm: Case Series and Literature Review

True Profunda femoris artery aneurysm is extremely rare. Its lateral and deeper location in upper thigh causes delayed indentification making surgical management difficult. Mainstay management technique is surgical with excellent long term outcomes. We report our experience of a 18 cm giant profunda femoris true aneurysm management and review the literature.

Surgical Treatment for Profunda Femoris Artery Aneurysms: Five Case Reports.

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.

Endovascular Repair of a Large Profunda Femoris Artery Pseudoaneurysm

Profunda femoris artery aneurysms and pseudoaneurysms are a rare cause of peripheral arterial aneurysms but their risk of rupture is quite high. We have presented a case of a left lower leg pseudoaneurysm. We have shown that endovascular repair with angioplasty and stenting is a suitable treatment method for such a pseudoaneurysm. Due to the limited data on this disease, we suggest multi-institute collaboration to identify and standardize management for the treatment.

Bilateral isolated aneurysms of profunda femoris artery

Bilateral isolated aneurysms of profunda femoris artery

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

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.

Bilateral Profunda Femoris Artery and Left Common Femoral Artery Aneurysms Presenting as Lower Limb Ischemia

We report a rare case of bilateral profunda femoris artery aneurysms (PFAAs) and a left common femoral artery aneurysm (CFAA) presenting as lower limb ischemia. An 84-year-old man presented with a sense of coldness and intermittent claudication of his left lower limb. Ultrasonography and computed tomography angiography showed bilateral PFAAs, a left CFAA, and an occlusion of the left popliteal artery. Thrombectomy of the left popliteal artery, exclusion of the bilateral PFAAs, replacement of the left CFAA, and bypass grafting of the right profunda femoris artery were performed. The patient had an uneventful postoperative course and was discharged from hospital on the postoperative day 14.

Endovascular Repair of a Profunda Femoris Artery Aneurysm

Profunda femoris artery (PFA) aneurysms are rare and they are usually treated with open surgery. We report the case of an 87-year-old patient who during the preoperative work-up for an abdominal aortic aneurysm was found to have a 4.2-cm aneurysm of the right PFA. A percutaneous transcatheter coil embolization was successfully performed using a contralateral retrograde approach. To date, only three patients, including the present case, have been treated with transcatheter coil embolization for a PFA aneurysm. In the absence of concomitant superficial femoral artery disease, embolization of aneurysms of the profunda femoris seems to be a safe and minimally invasive alternative to open repair in selected patients.

Solitary Profunda Femoris Artery Aneurysm

Solitary profunda femoris artery aneurysm (PFAA) is extremely rare but presents with symptoms related to rupture, distal embolization, or local compression of veins and nerves. We report two surgically treated cases of solitary PFAA. In case 1, a 69-year-old man presented with sudden onset of pain in the left groin. Computed tomography scan showed a large aneurysm with extravasation of the contrast medium in the left mid-thigh, indicating ruptured aneurysm of the profunda femoris artery. Case 2 involved a 70-year-old man whose computed tomography scan revealed a large, nonruptured PFAA. Both aneurysms were successfully resected with vascular reconstruction using the great saphenous vein.

Isolated Bilateral Profunda Femoris Artery Aneurysm

Isolated bilateral profunda femoris artery aneurysm (PFAA) is a very rare entity. Most of the cases are unilateral and occur with synchronous aneurysms elsewhere. Symptoms range from none to limb ischemia or hemorrhage because of rupture. We present a rare case of PFAA. In contrast to the general rule, the patient had a bilateral PFAA which was isolated to the deep femoral artery. The aneurysm was discovered after signs of acute limb ischemia caused by distal embolization. The patient was treated surgically with open aneurysmectomy and ligation of a branch of the deep femoral artery. PFAA are asymptomatic most of the time. Surgical repair is always recommended to prevent such life-threatening complications. Different treatment modalities are offered, including endovascular options. The presence of a PFAA should prompt screening for concomitant aneurysms.

Endovascular Stent Graft Management of a Ruptured Profunda Femoris Artery Aneurysm

IntroductionWe report the first case of a ruptured profunda femoris artery (PFA) aneurysm managed successfully with an endovascular stent graft. ReportAn 87-year-old man presented with pain and pulsatile swelling on his thigh from a ruptured large saccular aneurysm arising from the mid PFA. The aneurysm was successfully excluded with an endovascular stent graft. The patient made a good recovery post procedure. DiscussionThis case demonstrates that PFA aneurysms, when ruptured, can be managed successfully by endovascular stent graft in the high risk patient.

Profunda femoris artery aneurysms: Association with aneurysmal disease and limb ischemia

Because there is a paucity of data about management and outcome of true profunda femoris artery aneurysms (PFAAs), we reviewed our 21-year experience with surgical repair of PFAAs. Clinical data from the 15 patients who underwent repair between 1985 and 2006 were retrospectively reviewed. Fifteen men had 17 PFAAs (mean diameter, of 3.4 cm). Three had an acute presentation with rupture (n = 2) or acute limb ischemia (n = 1), one had local tenderness, and 11 were asymptomatic. Sizes of the ruptured PFAAs were 1.5 and 7.5 cm. Eleven patients (73%) had synchronous aneurysms, most frequently in the popliteal artery (n = 7). Three of the asymptomatic patients required an emergency operation because of acute lower extremity ischemia caused by thrombosis of a synchronous popliteal aneurysm (n = 2) or for a ruptured iliac aneurysm (n = 1). Aneurysmectomy with graft interposition between the common femoral and PFA was used in 15 repairs. Ligation alone was used for one aneurysm, and another was treated by partial aneurysmectomy with primary repair. There were no deaths, graft thrombosis, or limb loss at 30 days. At a mean follow-up of 28 months (range, 3 to 108 months), one patient required above knee amputation 2 years after aneurysm ligation, and another patient presented with a recurrent aneurysm. Long-term graft patency was 100%. PFAAs are rare but often occur with synchronous aneurysms. One-third of patients presented with complications of limb ischemia or rupture caused by their PFAA or synchronous aneurysms. Good-risk patients with a PFAA >2 cm should undergo elective repair. Aneurysmectomy with femoral interposition graft is a durable repair.

IATROGENIC FEMORAL ARTERY ANEURYSMS IN ORTHOPAEDIC PRACTICE

Iatrogenic injury to the femoral vessel is a rare complication after fracture of hip. Pseudoaneurysm formation of superficial femoral artery or profunda femoris artery is detected quite late. We present our experience for surgical management of pseudoaneurysm of femoral artery after iatrogenic trauma during management of fracture of femur. A retrospective analysis was carried out for eight patients with femoral artery pseudoaneurysm treated surgically during the last 10 years in one surgical unit. Of eight patients with pseudoaneurysm of femoral artery, six had superficial femoral artery aneurysm and two profunda femoris artery aneurysm. Mean duration for presentation was 4 months (range 2-6 months). Methods of surgical intervention were direct closure of arterial defect after aneurysmectomy in six cases and use of saphenous vein patch graft for repair of artery in two cases. Mean size of aneurysm was 12 x 7 cm (range 8 x 4 cm to 20 x 12 cm). All patients were doing well during a mean follow up of 72 months (range 6-110 months). Large pseudoaneurysms of femoral arteries after iatrogenic injury during management of fractures of femur should be managed by aneurysmectomy and arterial repair with or without saphenous vein patch graft.

Endovascular therapy for a profunda femoris artery aneurysm which ruptured following intravenous thrombolysis

Arterial aneurysms are a relative contraindication for systemic thrombolytic therapy due to the risk of rupture. This case report describes rupture of a rare profunda artery aneurysm (PFAA) following systemic thrombolysis for myocardial infarction. Subsequent imaging and endovascular management of this rare complication is presented with a brief discussion.

Deep Femoral Artery Aneurysm: Report of a Case

Aneurysms involving the deep femoral artery, otherwise known as the profunda femoris artery (PFA), are extremely rare. Rarer still are bilateral PFA aneurysms (PFAAs). The diagnosis is difficult, but it may be suggested by the presence of a pulsatile tumor in the region of the femoral artery or by symptoms resulting from complications such as rupture or thromboembolism. A high index of suspicion is essential to diagnose them because they may present atypically. Surgery remains the treatment of choice and should be carried out electively for asymptomatic aneurysms. Surgery in an emergency situation can be challenging, especially when it involves vascular reconstruction as dictated by the peripheral vascular circulation.