Milotic Franko, Milotic Irena, Flis Vojko
Department of Vascular Surgery, University Clinical Center Maribor, 2000 Maribor, Slovenia.
Ann Vasc Surg. 2010 May;24(4):552.e1-3. doi: 10.1016/j.avsg.2009.09.014. Epub 2010 Feb 7.
True aneurysms of the profunda femoris artery are extremely rare in comparison to pseudoaneurysms of the same artery. In most cases they are accompanied by aneurysms of the abdominal aorta or peripheral vessels. The most common reason for aneurysmic dilatation of vessels is a generalized vascular degenerative process. An isolated true aneurysm of the profunda femoris artery due to atherosclerosis is markedly unusual. These aneurysms have a high incidence of complication; therefore surgical management is mandatory for all diagnosed cases regardless of whether they are symptomatic or not. We describe a case of a 73-year-old man with a large isolated atherosclerotic aneurysm of the profunda femoris artery. He presented with an enlarging, progressively debilitating mass in his upper thigh. Ultrasound and computed tomography-angiography demonstrated a 15 x 14 cm large aneurysm of the profunda femoris artery. The patient was successfully treated by aneurysm neck ligation and sac decompression.
与股深动脉假性动脉瘤相比，股深动脉真性动脉瘤极为罕见。在大多数情况下，它们伴有腹主动脉或外周血管的动脉瘤。血管动脉瘤样扩张的最常见原因是全身性血管退行性病变。由动脉粥样硬化引起的孤立性股深动脉真性动脉瘤明显不常见。这些动脉瘤并发症发生率高；因此，对于所有确诊病例，无论有无症状，均需进行手术治疗。我们报告一例73岁男性患者，患有一个巨大的孤立性股深动脉粥样硬化性动脉瘤。他因大腿上部出现一个不断增大、逐渐导致身体衰弱的肿块前来就诊。超声和计算机断层血管造影显示股深动脉有一个15×14厘米的大动脉瘤。该患者通过动脉瘤颈部结扎和瘤囊减压成功治愈。
