Profunda femoris artery (PFA) aneurysms are extremely uncommon. In contrast to other peripheral artery aneurysms, they frequently are symptomatic and prone to rupture. Ultrasonography is the diagnostic modality of choice, and is complemented by other imaging methods. Surgical treatment is mandatory both for symptomatic and asymptomatic patients in order to avoid hazardous complications. The authors report a case of a ruptured atherosclerotic PFA aneurysm, emphasizing its clinical features and discussing the accuracy of Duplex scanning as a preoperative study. The techniques employed in surgical management also are described.
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References
1.
1. Loubeau JM, Bahnson HT: Traumatic false aneurysm and arteriovenous fistula of the profunda femoris artery: Surgical management and review of the literature. Surgery81:222-227, 1977.
2.
2. Moote DJ, Hilborn MD, Harris KA, et al: Postarteriographic femoral aneurysms: Treatment with ultrasound-guided compression. Ann Vasc Surg8:325-331, 1994.
3.
3. Currie P, Turnbull CM, Shaw TR: Pseudoaneurysm of the femoral artery after cardiac catheterization: Diagnosis and treatment by manual compression guided by Doppler color flow imaging. Br Heart J72:80-84, 1994.
4.
4. Hanna GB, Holdsworth RJ, McCollum PT: Profunda femoris artery pseudoaneurysm following orthopaedic procedures. Injury25:477-479, 1994.
5.
5. Barnes DI, Broude HB: False aneurysm of the profunda femoris artery complicating fracture of the femoral shaft and treated by transcatheter embolization. S Afr Med J67:824-826, 1985.
6.
6. Symes JM, Eadie DG: Solitary arteriosclerotic aneurysm of the profunda femoris artery. J Cardiovasc Surg14:220-222, 1973.
7.
7. Roseman JM, Wyche D: True aneurysm of the profunda femoris artery. J Cardiovasc Surg28:701-705, 1987.
18. Ferrero S, Cartia Q, Belgrano EA: Su di un caso de aneurisma dell'arteria femorale profunda. Minerva Cardioangiol31:469-470, 1983.
19.
19. Tait WF, Vohra RK, Carr HMH, et al: True profunda femoris aneurysms: Are they more dangerous than other atherosclerotic aneurysms of the femoropopliteal segment?Ann Vasc Surg5:92-95, 1991.
20.
20. Reher S, Rutsaert R: Atherosclerotic aneurysm of the deep femoral artery. Eur J Vasc Surg6:226-226, 1992.
21.
21. Markland CG: Primary atherosclerotic aneurysm of the profunda femoris artery associated with distal embolization. Ann Vasc Surg3:389-391, 1989.
22.
22. Raine NMN, Magee TR, Galland RB: Thigh embolization in association with bilateral profunda femoris aneurysms. Eur J Vasc Endovasc Surg9:491-493, 1995.
23.
23. Jamieson WG, Carroll SE: Ruptured profunda femoris aneurysm presenting as thrombophlebitis. Med Serv J Can21:193-198, 1965.
24.
24. Feldman AJ, Berguer R: Rupture of isolated atherosclerotic aneurysm of lateral femoral circumflex artery. Surgery90:914-916, 1981.
25.
25. Terada Y, Wanibuchi Y: A case of ruptured aneurysm of the profunda femoris artery treated successfully by transcatheter embolization. Nippon Geka Gakkai Zasshi90:1278-1281, 1989.
26.
26. Schulze KR, Chester JF: Aneurysm of the profunda femoris artery. Aust N Z J Surg64:69-70, 1994.
