Surgical repair of bilateral profunda femoris artery aneurysms

True aneurysms of the profunda femoral artery are a rare arteriopathy. Few cases have been described in the literature. They are prone to spontaneous rupture and carry significant morbidity, including loss of limb. In light of this, elective repair of profunda femoris aneurysms at the time of detection is the preferred course of action. Surgical repair should include reconstruction of the profunda circulation, in addition to exclusion of the aneurysm to prevent distal ischemia. In this report, we describe the case of a gentleman in whom bilateral profunda femoris artery aneurysms were detected during angiography to investigate his intermittent claudication. Surgical repair involved both exclusion of the aneurysms and bilateral vascular reconstruction.