Ruptured massive aneurysm of the deep femoral artery

Atherosclerotic aneurysm of the deep femoral artery is extremely rare. We report an 88-year-old man, who was admitted to the hospital because of acute pain and massive swelling in the right groin. Angiography and ultrasonography demonstrated an uncommonly large ruptured deep femoral artery aneurysm (10.5 x 10.1 cm). At operation the aneurysm was resected accompanied by an autogenous venous graft replacement. This case and others reported in the literature indicate operative treatment in all, even in symptomless deep femoral artery aneurysms in order to avoid serious complications.