Arıkan Ali Ahmet, Bayraktar Fatih Avni, Selçuk Emre
Departement of Cardiovascular Surgery, 52980Kocaeli University Medical Faculty, Turkey.
Departement of Cardiovascular Surgery, Muş State Hospital, Turkey.
Vasc Endovascular Surg. 2020 Oct;54(7):650-655. doi: 10.1177/1538574420939716. Epub 2020 Jul 15.
Atherosclerotic true aneurysms of the superficial femoral artery (SFA) and profunda femoris artery (PFA) are rare and difficult to detect. The synchronous presence of SFA and PFA aneurysms is even rarer. Herein, we present a case with ipsilateral true SFA and PFA aneurysms diagnosed with rupture. A review of the international literature is made, and the diagnosis and treatment options of this rare condition are discussed. A 75-year-old male was admitted to our hospital with an aneurysm on the distal SFA and the ipsilateral PFA, as well as a hematoma around the PFA. It was difficult to determine the source of the rupture before surgery, even with proper imaging. Successful ligation of the PFA and an aneurysmectomy followed by a bypass grafting for the SFA were performed. An intraoperative examination revealed that the SFA aneurysm had ruptured. In elderly males with a history of ectasia or aneurysm on the aorta or peripheral arteries, a synchronous aneurysm on the SFA or the PFA should be suspected.
股浅动脉（SFA）和股深动脉（PFA）的动脉粥样硬化真性动脉瘤较为罕见且难以检测。SFA和PFA动脉瘤同时存在的情况更为罕见。在此，我们报告一例同侧SFA和PFA真性动脉瘤破裂的病例。我们对国际文献进行了回顾，并讨论了这种罕见病症的诊断和治疗选择。一名75岁男性因SFA远端和同侧PFA的动脉瘤以及PFA周围血肿入院。即使进行了适当的影像学检查，术前也很难确定破裂的来源。成功结扎了PFA并进行了动脉瘤切除术，随后对SFA进行了旁路移植术。术中检查发现SFA动脉瘤已破裂。对于有主动脉或外周动脉扩张或动脉瘤病史的老年男性，应怀疑SFA或PFA存在同步动脉瘤。
