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CURRENT ISSUECHIRURGIA

A Journal on Surgery


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CASE REPORTS  


Chirurgia 2008 August;21(4):203-5

language: English

Isolated true giant aneurysm of the profunda femoris artery. A case report and literature review

Nessi F., Ferrero E., Ferri M., Gaggiano A., Viazzo A., Maggio D., Berardi G., Piazza S., Cumbo P.

Vascular and Endovascular Surgery Unit Mauriziano Umberto I Hospital, Turin, Italy


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A male patient was admitted for a pulsating mass in the region of the right groin. The colour Duplex showed an aneurysm in the right profunda femoris artery (diameter 9 cm x 7 cm).
Surgery was performed with the exclusion of the femoral aneurysm and it was carried out a ligation of the proximal and distal osti of the artery above and below the aneurysm.
In the post-operative phase there were wound complication (cicatrization delay for suffering of the cutaneous margins without infection) and a modest lymphorrea that stopped after 2 day.
The patient was discharged 7 days after the operation.
The follow up with Colour Duplex, at 6 -12 - 18 - 24 months, showed the normal vascularization of the arterial vessels of the right lower limb and was confirmed the absence of new aneurysmal dilations. In scientific literature, only 0.5-1% of arteriosclerotic aneurysms in peripheral vessels occur in the profunda femoris artery.
Generally the aneurysms of the profunda femoris artery are characterised by a rapidly growing pulsating mass, with a high risk of rupture, distal embolization and peripheral ischemia. The standard approach is to use surgery (exclusion of the aneurysm associated with a by-pass or tying of the arterial stumps) or endovascular therapy.
True aneurysm of the profunda artery can reach significant dimensions, in literature less than 60 cases have been reported but few cases are reported with this exceptional size.

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