Kawai Norikazu, Mori Yoshio, Hatsune Toshiki, Takiya Hiroshi
Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu City, Gifu, Japan.
Ann Vasc Surg. 2011 Jul;25(5):700.e5-7. doi: 10.1016/j.avsg.2010.11.018. Epub 2011 Apr 17.
We report a rare case of bilateral profunda femoris artery aneurysms (PFAAs) and a left common femoral artery aneurysm (CFAA) presenting as lower limb ischemia. An 84-year-old man presented with a sense of coldness and intermittent claudication of his left lower limb. Ultrasonography and computed tomography angiography showed bilateral PFAAs, a left CFAA, and an occlusion of the left popliteal artery. Thrombectomy of the left popliteal artery, exclusion of the bilateral PFAAs, replacement of the left CFAA, and bypass grafting of the right profunda femoris artery were performed. The patient had an uneventful postoperative course and was discharged from hospital on the postoperative day 14.
我们报告一例罕见的双侧股深动脉动脉瘤（PFAA）和左侧股总动脉动脉瘤（CFAA），表现为下肢缺血。一名84岁男性因左下肢发凉和间歇性跛行就诊。超声检查和计算机断层血管造影显示双侧PFAA、左侧CFAA以及左侧腘动脉闭塞。对左侧腘动脉进行了取栓术，对双侧PFAA进行了旷置术，置换了左侧CFAA，并对右侧股深动脉进行了搭桥移植术。患者术后恢复顺利，术后第14天出院。
