Isolated bilateral profunda femoris artery aneurysm.
BACKGROUND
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.


METHODS
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.


CONCLUSIONS
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.
Gemayel
Gino
G
Division of Cardiovascular Surgery, University Hospital of Geneva, University of Geneva, Geneva, Switzerland. mi_hosono@hotmail.com
Mugnai
Damiano
D
Khabiri
Ebrahim
E
Sierra
Jorge
J
Murith
Nicolas
N
Kalangos
Afksendyios
A
D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000925:Anticoagulants / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008026:Ligation; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
D000925:Anticoagulants