Ikeda Hirokuni, Takeo Masahiko, Murakami Teppei, Yamamoto Mitsuo
Department of Surgery, Kobe City Hospital Organization Kobe City Center West Hospital, Kobe Nagata-ku, Hyogo, Japan
Department of Surgery, Kobe City Hospital Organization Kobe City Center West Hospital, Kobe Nagata-ku, Hyogo, Japan.
J Surg Case Rep. 2015 Aug 25;2015(8):rjv111. doi: 10.1093/jscr/rjv111.
A 58-year-old man presented with paralysis and pain in the left leg, and a mass was found in his thigh. Because of the growth of the mass and the worsening of his symptoms, the patient visited our hospital. Multidetector computed tomography revealed a large deep femoral arterial (DFA) aneurysm. Surgical intervention was planned because of the large size of the aneurysm, the high risk of perforation and the worsening symptoms. Aneurysmectomy and revascularization of the distal DFA with an artificial blood vessel graft were performed. DFA aneurysms are extremely rare. These aneurysms have a high rate of rupture, and surgery plays an important role in their treatment. However, standard methods have not yet been established because of their rarity of DFA aneurysm. We describe a case of DFA aneurysm in a patient who was successfully treated with aneurysmectomy and revascularization with an artificial blood vessel graft.
一名58岁男性因左腿麻痹和疼痛就诊,大腿发现肿物。由于肿物增大且症状加重,患者前来我院就诊。多层螺旋计算机断层扫描显示为巨大股深动脉(DFA)动脉瘤。鉴于动脉瘤体积巨大、穿孔风险高且症状加重,计划进行手术干预。实施了动脉瘤切除术,并用人造血管移植对DFA远端进行血运重建。DFA动脉瘤极为罕见。这些动脉瘤破裂率高,手术在其治疗中起着重要作用。然而,由于DFA动脉瘤罕见,尚未确立标准治疗方法。我们报告1例DFA动脉瘤患者,通过动脉瘤切除术和人造血管移植血运重建获得成功治疗。