Surgical Repair of Ruptured Deep Femoral Artery Aneurysm

Abstract

Deep femoral artery aneurysms are rare among arterial aneurysms and treatment has not reached consensus. We describe a deep femoral artery aneurysm that was surgically repaired and a review of the literature. An 80-year-old man was hospitalized with a painful swollen left groin . Computed tomography revealed a mass caused by a ruptured aneurysm in the deep femoral artery. Aneurysmectomy proceeded without reconstruction of the deep femoral artery because the distal femoral-popliteal outflow tract was patent. The patient had an uneventful postoperative recovery and was discharged without complications. We believe that a deep femoral artery aneurysm with a diameter ≥20 mm is a reasonable indication for surgical repair. If femoral-popliteal outflow is patent, surgical resection or ligation of deep femoral artery aneurysms without reconstruction is simple and safe.