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Updated: Sep 25, 2025

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Symptomatic Profunda Femoris Artery Aneurysm With Superficial Calf Ulcerations
Meghal Shah1, Francis J Porreca1, Edvard Skripochnik1
121611New York Presbyterian/Columbia University College of Physicians and Surgeons, New York, NY, USA.
Abstract:
Profunda femoris artery aneurysms (PFAA) account for less than 0.5% of peripheral aneurysms. Most PFAA are secondary to trauma, iatrogenic injury, or infection, whereas the incidence of true atherosclerotic aneurysms is especially rare. These aneurysms are typically asymptomatic but can cause nerve compression, deep vein thrombosis, pain, swelling, and even rupture. We present a case of bilateral PFAA in conjunction with bilateral popliteal artery aneurysms in which the patient had rare unilateral symptoms involving calf ulcerations suggestive of geniculate emboli. We explore this unusual presentation and etiology as well as discuss the options for repair of complex PFAA.
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