Idetsu Akihito, Sugimoto Masayuki, Matsushita Masahiro, Ikezawa Teruo
Department of vascular surgery, Aichi Cardiovascular and Respiratory Center, Yamatocho, Ichinomiya, Aichi, Japan.
Ann Vasc Surg. 2011 May;25(4):558.e13-5. doi: 10.1016/j.avsg.2010.11.014.
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.
孤立性股深动脉瘤（PFAA）极为罕见，但会出现与破裂、远端栓塞或静脉及神经局部受压相关的症状。我们报告两例经手术治疗的孤立性PFAA病例。病例1为一名69岁男性，突发左腹股沟疼痛。计算机断层扫描显示左大腿中部有一个大动脉瘤，造影剂外渗，提示股深动脉动脉瘤破裂。病例2为一名70岁男性，其计算机断层扫描显示一个大的、未破裂的PFAA。两个动脉瘤均通过使用大隐静脉进行血管重建成功切除。
