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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 2002 June;9(2):171-9
language: English, Italian
Femoral artery aneurysm. Our experience
Mastromarino A., Ventura M., Cucciolillo L., Giansante A., Saracino G.
From the Department of Surgical Sciences Chair and Specialization School in Vascular Surgery University of L’Aquila - L’Aquila
We conducted a retrospective study of our case records and a review of the literature to verify the rarity of femoral artery aneurysm and to evaluate the best therapeutic choice for the treatment of the disease. From 1992 to 1999 7 male patients (mean age 65 years) presented at our unit with isolated aneurysms of the common, superficial or deep femoral arteries, or with variously associated lesions, or with abdominal aortic aneurysms. All patients received traditional surgery (femoropopliteal bypass graft or great saphenous vein graft); in some cases the femoral bifurcation was reconstructed. The postoperative period was uneventful. Two patients died of myocardial infarction, while 5 are alive and asymptomatic. The literature reports that aneurysms of the femoral artery are rare, especially if they occur isolated. Diagnosis is readily established by objective examination. Their occurrence is often associated with abdominal aortic aneurysm. Endovascular surgical procedures were found to be an effective choice in the treatment of superficial femoral artery aneurysm.