Aneurisma verdadeiro isolado de artéria femoral profunda associado a doença arterial periférica: relato de caso
True isolated deep femoral artery aneurysm associated with peripheral artery disease: case report
Vinicius Tadeu Ramos da Silva Grillo; Rodrigo Gibin Jaldin; Nathália Dias Sertório; Matheus Bertanha; Marcone Lima Sobreira; Ricardo de Alvarenga Yoshida; Winston Bonetti Yoshida
Resumo
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Abstract
True deep femoral artery aneurysms are extremely rare, accounting for about 0.5% of all peripheral aneurysms. In this report, we describe a 79-year-old male patient with a history of prior abdominal aortic aneurysm surgery via a conventional approach who was admitted to the vascular surgery service at the Hospital das Clínicas with intermittent claudication of the lower limbs. Arterial color-Doppler ultrasonography of the right lower limb was performed, revealing peripheral arterial disease of the femoral--popliteal and infrapatellar segments. Computed tomography angiography identified aortoiliac and bifurcated graft occlusion from the infrarenal segment of the aorta, in addition to a deep femoral artery aneurysm with diameters of 3.7 cm x 3.5 cm and length of 7 cm. Resection of the aneurysm was followed by revascularization of the deep femoral artery by interposition of a Dacron graft and reimplantation of the superficial femoral artery into the graft. In cases of deep femoral artery aneurysms with concomitant peripheral arterial disease, it is important to ensure revascularization and adequate perfusion of the lower limb.
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References
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Submitted date:
11/24/2020
Accepted date:
01/07/2021
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