A Case of Ruptured Profunda Femoris Artery Aneurysm Complicated by Common Iliac Artery Aneurysm, Internal Iliac Artery Aneurysm, and Contralateral Profunda Femoris Artery Aneurysm

Abstract

An 80-year-old male patient was brought to the emergency department with swelling in his right thigh and worsening anemia. A CT scan revealed that the patient had a ruptured profunda femoris artery aneurysm on the right side, as well as common iliac and internal iliac artery aneurysms on the right side and a left profunda femoris artery aneurysm. The right profunda femoris artery aneurysm was treated with endovascular procedures. After two weeks, the patient underwent EVAR (endovascular aortic repair) for the remaining common and internal iliac artery aneurysms, and a hybrid treatment for the remaining left profunda femoris artery aneurysm, which involved ligation of the aneurysm and coil embolization of the surrounding area. The patient’s postoperative course was favorable.