Dulić Grgur, Požgain Zrinka, Pinotić Krešimir, Šego Krunoslav, Selthofer Robert, Rončević Ivica
Department of Cardiac Surgery, Faculty of Medicine, 'J. J. Strossmayer' University Osijek, Osijek, Croatia.
Department of Thoracic Surgery, Faculty of Medicine, 'J. J. Strossmayer' University Osijek, Osijek, Croatia.
Ann Vasc Surg. 2015 Nov;29(8):1663.e5-8. doi: 10.1016/j.avsg.2015.07.010. Epub 2015 Aug 28.
Profunda femoris artery aneurysms (PFAA) are very rare and easily overlooked. Currently, around 100 PFAA and 20 ruptured PFAA have been described in the literature. This is a report on a case of ruptured PFAA with thoracoabdominal aortic aneurysm. A ligation of the profunda femoris artery (PFA) and a femoropopliteal supragenicular bypass with vascular prosthesis were performed in the surgical treatment, which showed good results on the further follow-ups. A month after the procedure the patient had a rupture of the thoracoabdominal aortic aneurysm with fatal result. Therefore, it is recommended to perform a search for another aneurysm, especially on the aortoiliac segment, in every diagnosed PFAA case.
股深动脉动脉瘤（PFAA）非常罕见，很容易被忽视。目前，文献中已描述了约100例股深动脉动脉瘤和20例破裂的股深动脉动脉瘤。本文报告一例合并胸腹主动脉瘤的破裂股深动脉动脉瘤病例。手术治疗采用股深动脉结扎术及带血管假体的股腘上膝段旁路移植术，随访结果良好。术后一个月，患者胸腹主动脉瘤破裂，导致死亡。因此，建议在每例确诊的股深动脉动脉瘤病例中，对其他动脉瘤进行排查，尤其是在腹主动脉髂段。
