Streck Elena, Caballero Enrique Ramos, Hofmann Marcel, Claußnitzer Tim
Department of Cardiac and Vascular Surgery, Schön Klinik of Vogtareuth, Krankenhausstrasse 20, 83569 Vogtareuth, Germany.
Radiol Case Rep. 2024 Sep 4;19(11):5523-5526. doi: 10.1016/j.radcr.2024.08.017. eCollection 2024 Nov.
Profunda femoris artery aneurysms are extremely rare, and strongly associated with multiple synchronous or asynchronous aneurysms. In the literature, 2 types of the profunda femoris artery aneurysms were described. Pseudoaneurysms of the profunda femoris artery are mostly iatrogenic through fractures, catheterization, orthopedic injury, blunt trauma, or penetrating trauma. True profunda femoris artery aneurysm is idiopathic in nature. There is poor data related to the management of this type of aneurysm. This report is about the successful endovascular treatment of a 2.9 cm right asymptomatic true profunda femoris artery aneurysm using covered stents, with inconspicuous follow-up results after 3 and 6 months after implantation using contrast enhanced ultrasound. Endovascular repair is a good therapy to treat patients with true profunda femoris artery aneurysm, especially those with high morbidity.
股深动脉动脉瘤极为罕见，且与多个同步或异步动脉瘤密切相关。文献中描述了2种股深动脉动脉瘤。股深动脉假性动脉瘤大多是由骨折、导管插入术、骨科损伤、钝性创伤或穿透性创伤等医源性因素导致的。真性股深动脉动脉瘤本质上是特发性的。关于这类动脉瘤的治疗数据较少。本报告介绍了使用覆膜支架成功对一例2.9厘米无症状右股深动脉真性动脉瘤进行血管内治疗的病例，在植入后3个月和6个月使用对比增强超声进行随访，结果不明显。血管内修复是治疗真性股深动脉动脉瘤患者的一种良好疗法，尤其是那些发病率高的患者。
