Surgical management of isolated superficial femoral artery degenerative aneurysms

Abstract

Degenerative aneurysms of the SFA display peculiar characteristics (in terms of clinical onset, diagnostic timing, and clinical behavior) so that they differ from other peripheral aneurysms. In fact, they often grow to reach a considerable diameter before medical attention is sought, presenting with rupture or ischemia at diagnosis. SFA aneurysms preferentially affect elderly men and are often associated with aneurysms elsewhere. However, despite their rarity, the treatment is usually feasible, and long-term outcomes are good.

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

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

Ruptured superficial femoral artery aneurysm: a case report

“…Superficial femoral artery aneurysms comprise approximately 15% of all femoral artery aneurysms [1], [2], [3], [4]. By definition, these aneurysms are greater than twice the normal arterial diameter (7.2 mm in males and 6.2 mm in females) [6].…”

“…Superficial femoral artery aneurysms are rare clinical disorders with most literature on the subject consisting of case reports and series [1], [2], [3], [4], [5]. The largest retrospective series of 27 cases by Perini et al.…”

“…The largest retrospective series of 27 cases by Perini et al. [4] recommended computed tomography angiography (CTA) for diagnostic evaluation. The most commonly performed procedure in this series was an aneurysmectomy with prosthetic graft reconstruction [4].…”

“…[4] recommended computed tomography angiography (CTA) for diagnostic evaluation. The most commonly performed procedure in this series was an aneurysmectomy with prosthetic graft reconstruction [4]. Our case elegantly illustrates the timely use of CTA, the surgical approach, and postoperative care of a patient with a ruptured superficial femoral artery aneurysm.…”