title: Surgical management of a deep femoral artery aneurysm.
abstract: Standard surgical methods for managing true aneurysms of the deep femoral artery have not been established because these aneurysms are rare. An 85-year-old man, who had a ruptured aneurysm of the deep femoral artery, underwent aneurysmectomy and distal reconstruction with a contralateral autologous vein graft. Three-dimensional computed tomography is a valuable diagnostic modality to evaluate synchronous aneurysms and peripheral arterial circulation for treatment planning. Because of their etiology, aneurysms of the deep femoral artery should be treated with revascularization when technically feasible, even if the superficial femoral artery is patent. A contralateral saphenous vein may be the preferred conduit because ipsilateral venous stasis is likely.
authors.affiliation: Department of Biological Regulation and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School, Sendagi, Bunkyo-ku, Tokyo, Japan. maruyamayuji@nms.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Maruyama
authors.forename: Masami
authors.initials: M
authors.lastname: Ochi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome