Isolated True Aneurysm of Deep Femoral Artery

ABSTRACT

Aneurysm of deep femoral artery rarely occurs as an isolated lesion because of the anatomical position and characteristics of wall tissue. Early surgery is mandatory because the aneurysm has a tendency to become large and to rupture. We report herein a case of an isolated true deep femoral artery aneurysm in a 67-year-old female, who presented with a pulsatile mass in the groin showing rapid enlargement. CT angiography followed by conventional angiography confirmed the diagnosis and revealed no evidence of aneurysm or occlusive disease in the other arteries. Endo-aneurysmectomy with 6 mm PTFE graft interposition was performed. Acute deep vein thrombosis was developed postoperatively but was cured by short-term anticoagulation therapy. At ten-months follow-up, she resumed her normal activity with no ischemic or thrombotic symptoms.