Femoral and popliteal artery aneurysms radiology case. A femoral artery aneurysm is a weakness blood filled bulge of the femoral artery which is found in the groin region. Physicians examination a health care provider investigates the body of a patient for signs of disease. They are often diagnosed in combination with aneurysms. Introduction isolated aneurysm of common femoral artery is a rare occurrence.
False aneurysm of the profunda femoris artery, a rare. The medial and lateral boundaries of this triangle are formed by the medial margin of adductor longus and the medial margin of sartorius. False aneurysm as a complication of a hip fracture is rare. Reconstruction of the common femoral artery with a gra was performed successfully. We report a case of concomitant true femoral aneurysm and bilateral iliac artery aneurysms, which were treated with a combination of open. Approximately 50% of popliteal artery aneurysms are bilateral and about 34% are associated with femoral artery aneurysms 2. Aneurysm or pseudoaneurysm is the main vascular complication of behcets disease. When symptoms do occur, pain is most commonly experienced. This techniques involves the placement of a suture less aortic graft into the abdominal aorta inside the aneurysm via femoral artery cut down after the graft is delivered to the predetermined point, the graft is pressed or implanted against the vessel. Arteriosclerotic aneurysms of the femoral artery are uncommon lesions that occur in elderly men. Mycotic aneurysm of the femoral artery complicating.
Ruptured common femoral artery aneurysm or abdominal aortic. Behcets disease with recurrent thoracic aortic aneurysm. Treatment of postcatheterization femoral artery pseudoaneurysm with paraaneurysmal saline injection. Surgical treatment of syphilitic superficial femoral artery. The authors describe a false aneurysm of the profunda femoris artery caused by a bony fragment from the lesser trochanter after a proximal femoral fracture. Palpate the distal pulse every 24 hours early, and palpate routinely after the first 24 hours palpation. Pdf treatment of postcatheterization femoral artery. Common femoral artery uncommon aneurysms sage journals. The femoral artery aneurysm can cause trouble for a patient if they rupture and cause bleeding into the thigh, or when blood clot builds up inside the femoral artery aneurysm along the walls of the aneurysm and then travels down the artery and into the lower leg. Aneurysms widening of the artery can occur in this location.
Ruptured common femoral artery aneurysm or abdominal. Ruptured true superficial femoral artery aneurysm scielo. May 08, 2009 in conclusion, we present a case report of an isolated common femoral artery aneurysm as unusual groin lump. Five patients also had an aortic aneurysm aaa, one a thoracic aneurysm. Cause of femoral artery aneurysm what you need to know. Report of case this was the first mount sinai hospital admission of a 40yearold white woman who had experienced severe claudication and weakness of. Approximately 2 to 6 cm below the inguinal ligament, the femoral artery bifurcates into the superficial and deep femoral ie, profunda femoris arteries. Common causes of peripheral arterial aneurysms include atherosclerosis, popliteal artery entrapment. The mainstay in the treatment of femoral artery aneurysms faa 25 mm in diameter is surgical repair with or without use of a synthetic graft. There are 2 basic types of femoral aneurysms pseudoaneurysms frequently caused by angiograms, and true aneurysms. There was no leakage of the superficial femoral artery after injection of contrast medium under fluoroscopic control. The primary source of the tuberculous arteritis was a miliary tuberculosis of the lung.
Surgical treatment for profunda femoris artery aneurysms. Here we present a case of 61yearsold chinese gentleman who presented with a right groin lump, which was suspected to be groin hernia but turned out common femoral artery aneurysm. Isolated true femoral artery aneurysms are relatively rare and are found in elderly men with a strong history of smoking 1. One complication which is hitherto unreported, to our knowledge, is dissecting aneurysm of the superficial femoral artery. Most pfaas are pseudoaneurysms resulting from iatrogenic injury or trauma, while true aneurysms of the profunda femoris artery pfa are much less frequent. We encountered a patient with a large retroperitoneal hematoma due to rupture of a common femoral artery aneurysm. Jan 25, 2020 endovascular treatment for true aneurysm of the femoral artery is a safe and effective treatment especially in case of unruptured aneurysm. Surgical treatment of syphilitic superficial femoral artery aneurysm. Complication of retrograde femoral artery catheterization. Profunda femoris artery aneurysm pfaa is an uncommon condition, accounting for only 0. What are the signs and symptoms of femoral aneurysm.
It generally follows the taking of the medical history. The aneurysm was surgically excised and a prosthetic. Luo1, xiwei sun1, siqiao sun1, zhongying wang1, yuzhu jiang2, zhiyuan an2 and qi wang1 abstract background. Femoral artery pseudoaneurysms are usually iatrogenic, as the femoral artery is the vessel of choice for most endovascular arterial interventions. The authors present the case of a 52 yearoldcaucasian male, admitted with staphylococcus aureus bacteremia and mycotic aneurysm of the right superficial. Degenerative aneurysms of the superficial femoral artery. Case report ruptured common femoral artery aneurysm or. Arterial aneurysm is a known complication of syphilis, but the occurrence of femoral artery aneurysm. Common femoral artery aneurysm repair using bifurcated graft. However, the anatomy at the bifurcation can be unsuitable. Case presentation here we present a case of 61yearsold chinese gentleman who presented with a right groin lump, which was suspected to be groin hernia but turned out common femoral artery. The present study described a 60yearold chinese male who presented with two aneurysms in the middle and lower segment of the right superficial femoral artery causing the symptoms of pain, coldness and numbness in the right. Femoral artery atherosclerotic disease radcliffe vascular. Org is the home of the center for vascular awareness, a nonprofit foundation established by a group of dedicated medical professionals whose goal is to help educate the public about the nature, symptoms, treatment, and prevention of vascular disease.
Pdf degenerative aneurysms of the superficial femoral artery. After resection of the aneurysm, venous flow of the superficial femoral vein was restored. Introduction aneurysms are rare in the femoral artery and rarer in the superficial femoral artery sfa. Femoral versus aortic cannulation for surgery of chronic. Peripheral arterial aneurysms cardiovascular disorders. Staphylococcus aureus is the major cause of bacteremia, with the potential for some complications, namely mycotic aneurysms, defined as irreversible dilatation of an artery due to destruction of the vessel wall by infection. In conclusion, we present a case report of an isolated common femoral artery aneurysm as unusual groin lump. The femoral artery is also the most common site of pseudoaneurysms, including mycotic and anastomotic aneurysms and those secondary to trauma and percutaneous cannulation of the femoral artery. Traumatic false aneurysm of the femoral vein has never been reported in the english literature. True arteriosclerotic aneurysms of the superficial femoral artery, not associated with generalized dilatation of the common femoral or popliteal artery, are relatively rare. The deep femoral vein was found to be adhered firmly to the aneurysm. False aneurysm of the common femoral vein in a footballer.
A femoral aneurysm is typically found at the top portion of the artery, near the groin area. Superficial femoral artery aneurysman uncommon site of. In addition, despite the growing number of diagnostic and therapeutic. Femoral artery aneurysms are most often seen in patients over 70 years old, and have a 15 to 20. Nine 69% were associated with aortic or iliac aneurysms, and seven. The current management of isolated degenerative femoral artery. However, they have a high rate of rupture in comparison with other peripheral arterial aneurysms, and. The proximal neck of the aneurysm was isolated 2 cm distal to the bifurcation. Super ficial femoral artery aneurysms are associated with abdominal aortic aneurysms, as are other peripheral aneurysms. Introduction superficial femoral artery aneurysm is rare. Common femoral artery atherosclerosis is a common cause of claudication and critical limb ischaemia. Pdf a deep femoral artery dfa aneurysm is a very rare pathology of the vascular system. Postoperative femoral and popliteal aneurysm nursing care of artery reconstruction. Common femoral artery aneurysm repair using bifurcated.
Common femoral artery aneurysms are rare, and surgical repair is indicated if they are significantly large, or if they are symptomatic thrombosis causing limb ischaemia and compression of surrounding structures. Correlate the finding with preoperative circulation assessment. Isolated aneurysm of common femoral artery is a rare occurrence. Because of the rarity of its occurrence, the following case is reported. The decision was made on the basis of the computed tomographic imaging and on the intraoperative visual or palpatory. Pseudoaneurysm treatment depends on the size, but should be assessed by a vascular surgeon.
Learning and understanding the signs and symptoms of a femoral aneurysm leads to prompt diagnosis and treatment, and prevents complications, such as blood clots or even a burst artery, which can lead to almost immediate shock and death due to decreased. True and false aneurysms of the femoral artery sciencedirect. What is an aortoiliac aneurysm or common iliac artery aneurysm. The superficial femoral artery from the common femoral artery to the origin of hunters canal was normal. An aortoiliac aneurysm or common iliac artery aneurysm is the swelling or ballooning of the abdominal aorta and common iliac artery or the common iliac artery alone. This portion is known as the femoral triangle or scarpas triangle. The average size of palpable femoral artery aneurysms was 2. True aneurysms are treated depending on size, and have the risk. Rare case of isolated true aneurysm in the superficial.
See popliteal artery aneurysm and iliac artery aneurysm and overview of abdominal aortic aneurysm. We report two cases of ruptured superficial femoral artery aneurysms. Mar 30, 2015 this artery crosses the femoral nerve and femoral vein in such a way as to form a delta shape near the groin region. The majority of patients with femoral aneurysms have multiple aneurysms, with a 51% to 92% incidence of associated aortoiliac aneurysmal disease.
Aneurysms are rare in the femoral artery and rarer in the superficial femoral artery sfa. Treatment of postcatheterization femoral artery pseudo aneurysm with paraaneurysmal saline injection. Their relative clinical rarity is highlighted by population studies that indicate a combined incidence of both femoral and popliteal aneurysms in the. Incidence of femoral and popliteal artery aneurysms in.
Deep femoral artery aneurysm presenting as lower limb. Twentyyear experience of femoral artery aneurysms sciencedirect. Surgical endarterectomy with or without patch angioplasty has been considered the gold standard for the treatment of common femoral peripheral artery disease. Acs0616 repair of femoral and popliteal artery aneurysms. Pdf treatment of postcatheterization femoral artery pseudo. We present a case of bilateral common femoral artery. Surgical repair offered good results either in elective or urgent settings. The internal appearance of the sac is variable, depending on the. The common femoral artery, superficial femoral artery, superficial femoral vein and deep femoral vein were recognized and preserved fig. Computed tomography demonstrated a large retroperitoneal hematoma involving the left iliofemoral segment with extravasation of contrast into the left groin from a ruptured left common femoral artery.
Arterial aneurysm is a known complication of syphilis, but the occurrence of femoral artery aneurysm secondary to the syphilitic disease has never been reported. The case is here reported of a footballer with a traumatic false aneurysm of the common femoral vein which was initially misdiagnosed as an arterial pseudoaneurysm. Doctor answers on symptoms, diagnosis, treatment, and more. Infectious mycotic aneurysms may occur in any artery but are most common in the femoral. They are usually due to salmonellae, staphylococci, or treponema pallidum which causes syphilitic aneurysm. In the thigh, the femoral artery passes through the femoral triangle, a wedgeshaped depression formed by muscles in the upper thigh. The aorta is the main artery that carries oxygenfilled blood from the heart to all parts of the body. Most femoral artery aneurysms are seen in association with arteriosclerosis, although they have also been reported in patients with marfans syndrome, 9 vasculobehcets disease, 10 and acromegaly. Synthetic grafts are preferred, especially in cases involving large aneurysms, or the bifurcation of the common femoral artery. Twentyyear experience of femoral artery aneurysms core.
After surgery, the patient experienced rapid resolution of symptoms. This artery crosses the femoral nerve and femoral vein in such a way as to form a delta shape near the groin region. A manual search was also performed using bibliographies from relevant publications. Popliteal artery aneurysms are the most common peripheral arterial aneurysms. The medial and lateral boundaries of this triangle are formed by the medial margin of. However, if flow in the femoral artery of a normal leg is suddenly disrupted, blood flow distally is rarely sufficient. The recommended technique is interposition or inlay graft and the outcome is excellent. Terms for search included sfa aneurysms, true aneurysms. Malcolm was able to demonstrate acidfast bacilli in the. Mural thrombus within a popliteal artery aneurysm results to an irregular angulated lumen with a characteristic dog leg appearance. As with peripheral aneurysms elsewhere, femoral aneurysms are commonly associated with both abdominal aortic aneurysms and extremity aneurysms at other. The patient underwent two rounds of endovascular surgery, but developed new aneurysms immediately after surgery. The authors present the case of a 52 yearoldcaucasian male, admitted with staphylococcus aureus bacteremia and mycotic aneurysm of the right superficial femoral artery. True aneurysms are treated depending on size, and have the risk of.
In all patients, diagnosis was confirmed with duplex scan. As an isolated injury, it has been described as responsible for only 0. Pseudoaneurysms generally appear as rounded sacs in close proximity to, and often with, a connecting neck from the parent vessel. Femoral artery aneurysms are rare and generally affect elderly patients. Fourteen of the 23 surgical procedures were performedundergeneral anaesthesia. Many people do not experience any symptoms of an aortoiliac aneurysm or common iliac artery aneurysm. Among the 51 femoral and popliteal artery aneurysms, four femoral artery aneurysms and six popliteal artery aneurysms were palpable on physical examination. An 88yearold woman was first seen with thrombosis of a superficial femoral aneurysm and limb.
Because of this, it is very important to speak with your doctor about your risk of having or developing an aortoiliac aneurysm or common iliac artery aneurysm. True aneurysms of the femoral arteries are uncommon and. Aneurysms of the superficial femoral a report of two cases and. Patients rarely have any symptoms due to femoral artery aneurysm, they are usually discovered on routine physical examination by a physician. The only criteria for choosing the cannulation site were the distal extension of the aneurysm and the atheromatous alteration or calci. Aneurysms of the deep femoral artery are very rare because of their anatomical features and the characteristics of the arterial wall.
Femoral artery aneurysms are the second most prevalent peripheral artery aneurysm after those in the popliteal artery. Seventeenpatients werefoundto haveaninjury to thecommonfemoral artery whereas 4 had superficial femoral artery involvement. A man, aged 72, had a femoral aneurysm that ruptured. Femoral anatomy the common femoral artery is the continuation of the external iliac artery, the name changing as it crosses the inguinal ligament figure 1 and figure 2. If the femoral artery has to be ligated surgically to treat a popliteal aneurysm, blood can still reach the popliteal artery distal to the ligation via the genicular anastomosis. We report a case of behcets disease with recurrent thoracic aortic aneurysm combined with femoral artery aneurysm. Femoral artery pseudoaneurysm radiology reference article. Most pfaas are pseudoaneurysms resulting from iatrogenic injury or trauma 2, while true aneurysms of the profunda femoris artery pfa are much less frequent. Menard md, michael belkin md, in comprehensive vascular and endovascular surgery second edition, 2009. Degenerative femoral artery aneurysms faas are rare.
Femoral artery psas can be iatrogenic, for example, develop following cardiac catheterization or at the anastomotic site of previous surgery. True aneurysms of the femoral arteries are uncommon and seem to be still rarely observed. They share similar risk factors with aortic aneurysms including older age, male sex, smoking, hypertension, diabetes mellitus, or hyperlipidaemia. Staged approach for surgical management of a true femoral artery. Endo vascular graft procedure it is an alternative to conventional surgical repair of aaa.