Abstract
We report the case of a 92-year-old man who was referred to our hospital, with a rapidly expanding painful mass in his left thigh. Contrast enhanced computed tomography revealed a 9 cm atherosclerotic aneurysm in the middle portion of the left superficial femoral artery with evidence of rupture into the surrounding soft tissue. The distal superficial femoral artery and popliteal artery were already occluded, and the peroneal artery, the distal portion of the posterior tibial artery and the planter artery were detected through the collateral vessels. Using a contralateral approach, 0.035-inch coils were used to embolize the artery both proximal and distal to the aneurysm. The aneurysm was fully thrombosed, which gradually shrink. The patient’s post-procedural course was uneventful, and the limb was viable at discharge.
