-Case Reports-

Surgical Management of a Deep Femoral Artery Aneurysm

Yuji Maruyama^1,2, Masami Ochi^1,2 and Kazuo Shimizu¹

¹Department of Biological Regulation and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School
²Division of Cardiovascular Surgery, Department of Surgery, Nippon Medical School

Standard surgical methods for managing true aneurysms of the deep femoral artery have not been established because these aneurysms are rare. An 85-year-old man, who had a ruptured aneurysm of the deep femoral artery, underwent aneurysmectomy and distal reconstruction with a contralateral autologous vein graft. Three-dimensional computed tomography is a valuable diagnostic modality to evaluate synchronous aneurysms and peripheral arterial circulation for treatment planning. Because of their etiology, aneurysms of the deep femoral artery should be treated with revascularization when technically feasible, even if the superficial femoral artery is patent. A contralateral saphenous vein may be the preferred conduit because ipsilateral venous stasis is likely.

J Nippon Med Sch 2012; 79: 377-380

Keywords
deep femoral artery aneurysm

Correspondence to
Yuji Maruyama, MD, Division of Cardiovascular Surgery, Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
maruyamayuji@nms.ac.jp

Received, December 16, 2011
Accepted, January 26, 2012