Roseman J M, Wyche D
Quillen-Dishner College of Medicine, Johnson City, Tennessee.
J Cardiovasc Surg (Torino). 1987 Nov-Dec;28(6):701-5.
Aneurysms of the profunda femoris artery rarely occur as isolated lesions. Those cases appearing in the literature generally include only false aneurysms, the result of blunt, penetrating, or high velocity trauma. From a thorough review of the literature, true, aneurysmal dilatation of this artery, even as part of a generalized vascular degenerative process, must be considered obscure. A patient with an aneurysm of the deep femoral artery presented with an enlarging, progressively debilitating mass. The true nature of the lesion escaped definitive diagnosis even after detailed evaluation prior to surgical intervention. A review of the pathophysiologic basis of aneurysm formation strongly suggests this case may be the result of an, as yet undefined, autoimmune process.
股深动脉动脉瘤很少作为孤立性病变出现。文献中报道的此类病例通常仅包括假性动脉瘤，其由钝性、穿透性或高速创伤所致。通过对文献的全面回顾可知，即使作为全身性血管退行性变过程的一部分，该动脉真正的动脉瘤样扩张也必定鲜为人知。一名患有股深动脉动脉瘤的患者出现了一个不断增大且逐渐使人衰弱的肿块。即便在手术干预前进行了详细评估，该病变的真实性质仍未得到明确诊断。对动脉瘤形成的病理生理基础进行回顾后强烈提示，该病例可能是一种尚未明确的自身免疫过程所致。
