Solitary profunda femoris artery aneurysm.

Solitary profunda femoris artery aneurysm (PFAA) is extremely rare but presents with symptoms related to rupture, distal embolization, or local compression of veins and nerves. We report two surgically treated cases of solitary PFAA. In case 1, a 69-year-old man presented with sudden onset of pain in the left groin. Computed tomography scan showed a large aneurysm with extravasation of the contrast medium in the left mid-thigh, indicating ruptured aneurysm of the profunda femoris artery. Case 2 involved a 70-year-old man whose computed tomography scan revealed a large, nonruptured PFAA. Both aneurysms were successfully resected with vascular reconstruction using the great saphenous vein.