Parsa Pouria, Cantu Kristha, Eidt John, Gable Dennis, Pearl Gregory
Department of Vascular Surgery, Baylor University Medical Center, Dallas, TX.
Department of Vascular Surgery, Baylor University Medical Center, Dallas, TX.
Ann Vasc Surg. 2017 Oct;44:424.e7-424.e10. doi: 10.1016/j.avsg.2017.05.031. Epub 2017 Jun 8.
Profunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stages of development due to location and encasement in the deep thigh musculature. We report the case of a 74-year-old male who was discovered to have a right PFAA during evaluation for progressively worsening short distance claudication. He had undergone an angioplasty of the left iliofemoral system several months ago with no improvement of his symptoms. The PFAA was diagnosed through computed tomography angiography and repaired via syndactylization of profunda femoris branches and interposition grafting with a polytetrafluoroethylene stretch graft. The imaging features are described in the article. Although PFAAs are rare clinical presentations, their development should be considered, in particular when symptoms such as progressive or unchanging claudication are present in a patient following an angioplasty of the affected iliofemoral system.
股深动脉动脉瘤（PFAA）较为罕见，由于其位于大腿深部肌肉组织中且被包裹，在发病早期很难诊断。我们报告一例74岁男性病例，该患者在评估逐渐加重的短距离跛行时被发现患有右侧PFAA。他几个月前接受了左髂股系统血管成形术，但症状并未改善。通过计算机断层扫描血管造影诊断出PFAA，并通过股深动脉分支的并指术和使用聚四氟乙烯拉伸移植物的间置移植进行修复。本文描述了其影像学特征。尽管PFAA是罕见的临床表现，但应考虑其发生，特别是当患者在受影响的髂股系统血管成形术后出现进行性或无变化的跛行等症状时。
