Hotonu Sesi Ayodele, Johnson Charles Henry North, Kansal Nisheeth, Bhattacharya Vish
Department of Vascular Surgery, Gateshead Health NHS Foundation Trust, Gateshead, Gateshead, UK.
BMJ Case Rep. 2018 Jun 15;2018:bcr-2017-223331. doi: 10.1136/bcr-2017-223331.
Common femoral artery aneurysms are rare, and surgical repair is indicated if they are significantly large, or if they are symptomatic (thrombosis causing limb ischaemia and compression of surrounding structures). Synthetic grafts are preferred, especially in cases involving large aneurysms, or the bifurcation of the common femoral artery. We present a case of bilateral common femoral artery aneurysms extending into the bifurcation repaired using a synthetic graft which is traditionally used for an axillobifemoral bypass. This technique was employed due to the specific anatomical relationship between the profunda femoris and the superficial femoral artery in our patient. We will also review the current literature on the operative approaches to repair of common femoral artery aneurysms.
股总动脉瘤较为罕见，若动脉瘤显著增大或出现症状（血栓形成导致肢体缺血以及压迫周围结构），则需进行手术修复。人工血管移植物更为可取，尤其是在涉及大型动脉瘤或股总动脉分叉的情况下。我们报告一例双侧股总动脉瘤延伸至分叉处的病例，使用传统用于腋股动脉旁路移植的人工血管移植物进行修复。由于我们患者的股深动脉和股浅动脉之间存在特定的解剖关系，故采用了该技术。我们还将回顾当前关于股总动脉瘤修复手术方法的文献。
