title: Symptomatic Deep Femoral Artery Pseudoaneurysm Endovascular Exclusion. Case Report and Literature Review.
abstract: Deep femoral artery pseudoaneurysms (DFAPs) are rare and generally occur after penetrating trauma or surgical procedures. A 36-year-old obese man presented with pain in correspondence of the anterior-lateral thigh after 6 months from gunshot wound. Duplex and computed tomography (CT) showed a bilobed right DFAP (maximal diameter 12.9 cm). The patient was managed urgently, under local anesthesia, by placement in the distal DFA of a Viabahn 8 × 100-mm stent graft (W L Gore & Associates, Inc). The postoperative course was uneventful, and the 24-month CT showed regular stent-graft patency and 20-mm DFAP shrinkage. The literature review reported 8 cases of DFAPs; of these 6 were managed by endovascular mean (3 stent-graft implantations and 3 coil embolization). The remaining 2 cases were managed surgically (one of these after failed coil embolization). In conclusion, the use of covered stent graft was effective to treat a DFAP localized in the medium DFA. This tool allowed maintaining the native DFA patency and the preservation of its main branches.
authors.affiliation: Vascular Surgery Unit, University of Palermo, AOUP "P. Giaccone", Palermo, Italy. Electronic address: felice.pecoraro@unipa.it.
authors.forename: Felice
authors.initials: F
authors.lastname: Pecoraro
authors.affiliation: Vascular Surgery Unit, University of Palermo, AOUP "P. Giaccone", Palermo, Italy.
authors.forename: Ettore
authors.initials: E
authors.lastname: Dinoto
authors.affiliation: Department of Vascular and Endovascular Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Umberto M
authors.initials: UM
authors.lastname: Bracale
authors.affiliation: Vascular Surgery Unit, University of Palermo, AOUP "P. Giaccone", Palermo, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Badalamenti
authors.affiliation: Vascular Surgery Unit, University of Palermo, AOUP "P. Giaccone", Palermo, Italy.
authors.forename: Arduino
authors.initials: A
authors.lastname: Farina
authors.affiliation: Vascular Surgery Unit, University of Palermo, AOUP "P. Giaccone", Palermo, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Bajardi
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D012039:Regional Blood Flow; D015607:Stents; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency; D014948:Wounds, Gunshot / Q000150:complications*