Itoh K, Nagaoka H, Kato S, Innami R, Arai H, Tonouchi S
Nihon Geka Gakkai Zasshi. 1987 Jan;88(1):123-6.
The successful surgical repair of a ruptured false aneurysm of the left femoral artery in a 44-years-old male is presented. He was admitted to this hospital with the chief compliant of marked swelling accompanied with severe pain of the left thigh and the past history of a blunt trauma 7 years ago on the left groin? He had also severe anemia with hb 4.4 g/dl. An aneurysm measuring 15 by 8 cm was detected on the arteriogram. The aneurysm was treated by resection and implantation of Gore-Tex graft with good result. The pathological findings strikingly suggested that the false aneurysm was caused by the old blunt trauma. A false aneurysm of femoral artery caused by a blunt trauma is very rare and it's complications include acute arterial occlusion, subsequent ischemic change of lower limb and massive bleeding by the rupture. In conclusion, early diagnosis and surgical treatment are essential for a false aneurysm of femoral artery.
本文介绍了一例44岁男性左股动脉假性动脉瘤破裂的成功手术修复病例。他因左大腿明显肿胀并伴有剧痛入院，有7年前左腹股沟钝性外伤史。他还患有严重贫血，血红蛋白为4.4g/dl。动脉造影显示一个大小为15×8cm的动脉瘤。该动脉瘤通过切除并植入戈尔泰克斯移植物进行治疗，效果良好。病理结果显著提示假性动脉瘤是由陈旧性钝性外伤引起的。钝性外伤导致的股动脉假性动脉瘤非常罕见，其并发症包括急性动脉闭塞、随后的下肢缺血性改变以及破裂导致的大量出血。总之，股动脉假性动脉瘤的早期诊断和手术治疗至关重要。
