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Published on: September 25, 2009
Metachronous Bilateral Ruptured True Deep Femoral Artery Aneurysms: A Case Report
Takehiro Suzuki1, Naoki Toya1, Yuri Murakami1
1Department of Surgery, Division of Vascular Surgery, The Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
Abstract:
Deep femoral artery aneurysm (DFAA) is rare, and metachronous bilateral occurrence is extremely rare. An 83-year-old man presented with right thigh pain and swelling. He had undergone left DFAA repair at another hospital 13 years earlier, with no contralateral lesion at that time. CT revealed a ruptured right DFAA with hematoma and contrast extravasation. Emergency surgery was performed, and the proximal DFA was ligated without reconstruction due to distal occlusion. The postoperative course was uneventful. Ligation alone may be feasible in selected cases, and long-term follow-up is essential.
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