Nakai Shingo, Uchida Tetsuro, Kuroda Yoshinori, Ohba Eiichi, Mizumoto Masahiro, Yamashita Atsushi
Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
J Vasc Surg Cases Innov Tech. 2021 Jun 4;7(3):408-410. doi: 10.1016/j.jvscit.2021.05.017. eCollection 2021 Sep.
Isolated deep femoral artery aneurysms are rare and tend to be large at the time of diagnosis owing to their deep anatomic location. Deep femoral artery aneurysms are often complicated by rupture, with subsequent lower limb amputation. However, a large aneurysm can compress the surrounding deep femoral vein, leading to thrombosis. In the present report, we have described a rare surgical case of deep femoral artery aneurysm complicated by deep femoral vein thrombosis and pulmonary embolism. Preoperative inferior vena cava filter placement was effective for preventing perioperative worsening of the pulmonary embolism in this particular circumstance.
孤立性股深动脉瘤较为罕见，由于其解剖位置较深，在诊断时往往体积较大。股深动脉瘤常并发破裂，随后导致下肢截肢。然而，大型动脉瘤可压迫周围的股深静脉，导致血栓形成。在本报告中，我们描述了一例罕见的股深动脉瘤手术病例，该病例并发股深静脉血栓形成和肺栓塞。在这种特殊情况下，术前放置下腔静脉滤器对于预防围手术期肺栓塞恶化有效。
