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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
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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


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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.

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