Reslan Ossama M, Sundick Scott, Razayat Combiz, Brener Bruce J, Raffetto Joseph D
Division of Vascular Surgery, Department of Surgery, Newark Beth Israel Medical Center, Newark, NJ; Division of Vascular Surgery, Department of Surgery, Saint Barnabas Medical Center, Livingston, NJ.
Division of Vascular Surgery, Department of Surgery, Saint Barnabas Medical Center, Livingston, NJ.
Ann Vasc Surg. 2017 Feb;39:290.e1-290.e9. doi: 10.1016/j.avsg.2016.07.071. Epub 2016 Nov 24.
Profunda femoris artery aneurysms (PFAAs) are very rare and easily overlooked because they are located deeply within thigh muscle. PFAAs have a high rate of rupture in comparison with other peripheral arterial aneurysms, resulting in emergency surgical procedures with significant morbidity. PFAA is diagnosed with color arterial Doppler ultrasound, although computed tomography angiography remains the best imaging method to precisely define the exact site and length of arterial involvement. PFAAs should be treated surgically once diagnosed, even if they are asymptomatic due to the high incidence of complications. Currently, around 28 patients with PFAA rupture, including the 2 cases from this report, have been described in the English language literature. In this report, we describe the diagnosis and treatment of 2 true ruptured aneurysms of the profunda femoris artery with 2 different approaches, and will review the relevant literature.
股深动脉动脉瘤（PFAA）非常罕见，且因其位于大腿肌肉深处而容易被忽视。与其他外周动脉动脉瘤相比，PFAA的破裂率很高，这导致了具有显著发病率的急诊外科手术。PFAA通过彩色动脉多普勒超声诊断，尽管计算机断层血管造影仍然是精确确定动脉受累的确切部位和长度的最佳成像方法。一旦确诊，即使无症状，由于并发症发生率高，PFAA也应接受手术治疗。目前，英文文献中已描述了约28例PFAA破裂患者，包括本报告中的2例。在本报告中，我们描述了采用两种不同方法诊断和治疗2例真正破裂的股深动脉动脉瘤，并将回顾相关文献。
