title: Initial experience with proximal ligation for profunda femoris artery aneurysms: report of three cases.
abstract: Profunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stage. They are often found due to the presence of complicated conditions, such as rapid expansion, rupture, or acute lower limb ischemia. Surgical procedures such as aneurysmectomy and endoaneurysmorrhaphy tend to be technically challenging because of the patient status and the extent of the aneurysm. We experienced three cases of PFAAs that were treated by proximal ligation (PL) without complete control of the distal branches. The exclusion of PFAAs was confirmed by duplex ultrasound or angiography at the end of the operation. There was no mortality in the perioperative period. During a 12-month follow-up, all cases exhibited complete exclusion of aneurysms with marked size reduction. Based on these findings, we propose that PL, with a careful follow-up for PFAA exclusion and distal limb circulation, could be an alternative treatment for complicated PFAAs.
authors: Department of Vascular Surgery, Shizuoka Red Cross Hospital, 8-2 Ottemachi, Aoi-Ku, Shizuoka city, Shizuoka, 420-0853, Japan, Shintani@SZRC.org.
authors: Tsunehiro
authors: T
authors: Shintani
authors: Togo
authors: T
authors: Norimatsu
authors: Koji
authors: K
authors: Atsuta
authors: Takaaki
authors: T
authors: Saitou
authors: Shigeki
authors: S
authors: Higashi
authors: Hiroshi
authors: H
authors: Mitsuoka
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003952:Diagnostic Imaging; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation / Q000379:methods; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*