[Isolated true aneurysm of the deep femoral artery].
Aneurysms of the deep femoral artery, accounting for 5% of all femoral aneurysms, are uncommon. There is a serious risk of rupture. We report the case of an 83-year-old patient with a painless pulsatile mass in the right groin due to an aneurysm of the deep femoral artery. History taking revealed no cardiovascular risk factors and no other aneurysms at other localizations. The etiology remained unclear because no recent history of local trauma or puncture was found. ACT angiography was performed, revealing a true isolated aneurysm of the deep femoral artery with a diameter of 90mm, beginning 1cm after its origin. There were no signs of rupture or distal emboli. Due to unsuitable anatomy for an endovascular approach, the patient underwent open surgery, with exclusion of the aneurysm and interposition of an 8-mm Dacron graft to preserve deep femoral artery flow. Due to their localization, the diagnosis and the management of aneurysms of the deep femoral artery can be difficult. Options are surgical exclusion or an endovascular approach in the absence of symptoms or as a bridging therapy. If possible, blood flow to the distal deep femoral artery should be maintained, the decision depending also on the patency of the superficial femoral artery. In case of large size, aneurysms of the deep femoral artery should be treated without any delay.
Service de chirurgie vasculaire, CHRU de Besançon, boulevard Flemming, 25030 Besançon cedex, France. Electronic address: lsalomondumont@chu-besancon.fr.
L
L
Salomon du Mont
Service de chirurgie thoracique et vasculaire, CHUV, rue du Bugnon, 46, 1011 Lausanne, Suisse.
T
T
Holzer
Service de chirurgie cardiovasculaire et thoracique, CHU Dijon Bourgogne, 14, rue Paul-Gaffarel, 21000 Dijon, France.
C
C
Kazandjian
Service de chirurgie thoracique et vasculaire, CHUV, rue du Bugnon, 46, 1011 Lausanne, Suisse.
F
F
Saucy
Service de chirurgie thoracique et vasculaire, CHUV, rue du Bugnon, 46, 1011 Lausanne, Suisse.
J M
JM
Corpataux
Service de chirurgie vasculaire, CHRU de Besançon, boulevard Flemming, 25030 Besançon cedex, France.
S
S
Rinckenbach
Service de chirurgie thoracique et vasculaire, CHUV, rue du Bugnon, 46, 1011 Lausanne, Suisse.
S
S
Déglise
D000369:Aged, 80 and over; D000783:Aneurysm / Q000175:diagnosis* / Q000601:surgery; D000792:Angiography; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male
Aneurysm; Anévrisme; Artère fémorale profonde; Deep femoral artery