A Case of Concomitant Treatment of Endovascular Repair for Abdominal Aortic Aneurysm and Open Surgery for Profunda Femoris Artery Aneurysm

Abstract

A 72-year-old man was admitted for the purpose of surgical and endovascular treatment for profunda femoris artery aneurysm (PFAA) associated with abdominal aortic aneurysm (AAA) and common iliac artery aneurysm. The patient had undergone surgical treatment for thoracic aortic aneurysm 1 year ago. This patient had arteriomegaly which is defined as the diffuse ectasia of arteries with or without aneurysmal disease. We simultaneously performed endovascular abdominal aortic repair (EVAR) and profunda femoris artery interposition with expanded polytetrafluoroethylene (ePTFE) ringed graft and could preserve distal blood flow of profunda femoris artery. In the outpatient follow-up, the bypass graft of profunda femoris artery was patent for 4 years after surgery. Although some cases of PFAAs are reported recently, PFAAs are still rare entity in the peripheral artery aneurysms. There is no report of concomitant treatment of endovascular repair for AAA and open surgery for PFAA, we report this case and review some literature of PFAA.