Degenerative Aneurysms of the Superficial Femoral Artery

León, Luis R.; Taylor, Zachary; Psalms, Shemuel B.; Mills, Joseph L.

doi:10.1016/j.ejvs.2007.09.018

Cited by 40 publications

(48 citation statements)

References 21 publications

(37 reference statements)

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“…SFA aneurysms are much more common in elderly men, more than popliteal artery aneurysm series [1], [11], [12].…”

Section: Discussionmentioning

confidence: 99%

“…Most of the published series recommended elective repair of all asymptomatic FAAs >25 mm in diameter [1], [22], [23].…”

Section: Discussionmentioning

confidence: 99%

“…The relative uncommonness of SFA aneurysms has been described as a result of the protection provided by surrounding muscles and the lack of bending stress, and their late diagnosis is probably attributable to the fact that they are located deep in the thigh [1]. Therefore, these aneurysms could remain unperceived until they reach a considerable diameter or until they become symptomatic.…”

Section: Introductionmentioning

confidence: 99%

“…In this region, aneurysms most frequently involve the common femoral artery (CFA), whereas true aneurysms of the superficial femoral artery (SFA) represent only 15% to 25% of femoral arterial aneurysms [1], [2], [3], [4], [5].…”

mentioning

confidence: 99%

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Giant true aneurysm of superficial femoral artery in patient with multiple atherosclerotic aneurysms: A case report

Belhaj

Chimanuka

Rondelet

2017

International Journal of Surgery Case Reports

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HighlightsWe report the case of a 84-year-old patient presenting a giant degenerative ruptured aneurysm of the superficial femoral artery. The patient was also operated one year before, for a ruptured aneurysm of the abdominal aorta.This case report is rare, because we described a case of patient with multiple atherosclerotic aneurysms, who present, for the second time, a life threating ruptured aneurysm.Our patient presented, two years before, six synchronic aneurysms without evidence of collagen vascular pathology despite a genetic screening.

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“…SFA aneurysms are much more common in elderly men, more than popliteal artery aneurysm series [1], [11], [12].…”

Section: Discussionmentioning

confidence: 99%

“…Most of the published series recommended elective repair of all asymptomatic FAAs >25 mm in diameter [1], [22], [23].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Giant true aneurysm of superficial femoral artery in patient with multiple atherosclerotic aneurysms: A case report

Belhaj

Chimanuka

Rondelet

2017

International Journal of Surgery Case Reports

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“…Diagnosis is based on angiotomography, magnetic resonance angiography and vascular Doppler ultrasonography, which make it possible to visualize the aneurysm's anatomic relationships and can also be used to plan surgery [13][14][15] . Nevertheless, arteriography still has its place, primarily for investigation of the distal bed for planning revascularization 15 .…”

Section: Discussionmentioning

confidence: 99%

Ruptured true superficial femoral artery aneurysm

et al. 2013

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Femoral artery aneurysms are rare and generally affect elderly patients. They are often diagnosed in combination with aneurysms in other locations, such as peripheral and aortic aneurysms. This case report describes a young patient whose superficial femoral artery (SFA) had a clinical presentation suggestive of a ruptured aneurysm. The patient underwent standard treatment, with aneurysmectomy and interposition of the ipsilateral saphenous vein. A review of the literature confirms the rarity of this case.Keywords: superficial femoral artery; ruptured aneurysm. ResumoOs aneurismas de artéria femoral são raros e ocorrem geralmente em pacientes idosos. Estão frequentemente associados a outros aneurismas, tanto periféricos como de aorta abdominal. O presente relato refere-se a um jovem portador de aneurisma de artéria femoral superficial (AFS), cuja apresentação clínica foi a ruptura. O paciente foi submetido ao tratamento convencional, com ressecção do aneurisma e interposição de veia safena magna ipsilateral. A revisão da literatura corrobora a raridade do caso.Palavras-chave: artéria femoral superficial; aneurisma roto. C A S E R E P O R T Superficial femoral artery aneurysmThese characteristics suggested a ruptured aneurysm of the superficial femoral artery.Arteriography showed that the abdominal and iliac aortas were patent, with no significant obstructions, and that the mid segment of the right superficial femoral artery was dilated. The distal segment showed signs of compression by the adjacent mass and the distal superficial femoral and popliteal arteries had flow, primarily originating in collateral branches (Figures 2, 3 and 4).The patient underwent exploratory surgery of the left lower limb. There was a large-volume hematoma related to the ruptured aneurysm of the left superficial femoral artery ( Figure 5).The aneurysm was resected and the vascular segment reconstructed by reversed interposition of a segment of the ipsilateral saphenous vein (Figure 6). The surgical technique employed was continuous sutures at the arterial anastomoses using 6.0 polypropylene thread. The muscle planes were drawn together using continuous 3.0 nylon thread sutures and skin was sutured with separated 4.0 nylon thread sutures.During the postoperative period, the patient suffered hematoma of the surgical wound and an infection, requiring a second intervention for drainage and surgical debridement, which increased the length of hospital stay and the morbidity related to the procedure. The patient was discharged from hospital 19 days after the first surgery.The patient underwent transesophageal echocardiogram during the postoperative period, with normal results. Fragments of tissue removed during the first operation were sent for microscopic examination and bacteriological tests; but no germ growth was detected. The patient was subjected to rheumatologic tests and the results were negative.

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