Aneurisma de artéria femoral superficial roto: relato de caso e revisão de literatura

Abstract

O aneurisma de artéria femoral superficial é um evento raro que costuma manifestar-se em pacientes com idade avançada, frequentemente associado a outros aneurismas, periféricos ou de aorta abdominal. O caso relatado refere-se a um paciente cujo aneurisma de artéria femoral superficial se apresentou roto e associado a um aneurisma de aorta abdominal. Foi submetido à revascularização cirúrgica fêmoro-poplítea mediante prótese de politetrafluoretileno, com sucesso. A revisão da literatura demonstra que embora haja uma tendência à manifestação aguda da doença, principalmente como ruptura, os resultados com o tratamento cirúrgico são excelentes.

A True Bilateral Superficial Femoral Artery Aneurysm: A Case Report

“…In American men, the reported incidence of femoral artery aneurysms is 7.39 per 100,000 individuals [4]. When considered in isolation, SFA aneurysms constitute only 0.5% of all peripheral aneurysms and 1% of all femoral artery aneurysms [5,6]. It is worth noting that these studies may have limitations due to variations in patient demographics and the imaging techniques utilized.…”

“…Among the potential complications are rupture, infection, and limb ischemia due to distal embolization or thrombosis [1]. SFA aneurysms are symptomatic on presentation in 63% of cases [5]. Elderly patients, with 87% being male, usually present with pain and a pulsatile mass in the thigh, indicating a symptomatic aneurysm, with or without rupture [7].…”

Ruptured true aneurysm of the superficial femoral artery leading to Behçet disease diagnosis

“…Isolated, true aneurysms of the SFA are very rare and occur in 1% of all femoral artery aneurysms and 0.5% of peripheral aneurysms 1,2 .…”

Ruptura espontânea de aneurisma do segmento médio da artéria femoral superficial: relato de caso

“…However, true isolated aneurysms of the superficial femoral artery (SFA) are rare, accounting for approximately 1% of all aneurysms involving the SFA -including false aneurysms -and 0.5% of true peripheral aneurysms. 1,2 In the literature up to 2012, there are reports of 103 cases of true isolated aneurysms of the SFA worldwide, among which the distal third was most frequently involved. 3 Complications associated with SFA aneurysms include thrombosis, distal embolization, and rupture, the last of which is the most frequent.…”