Un anévrisme isolé de l'artère fémorale profonde [Isolated true aneurysm of the deep femoral artery]

Détails

ID Serval
serval:BIB_BD237E3A5C74
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Un anévrisme isolé de l'artère fémorale profonde [Isolated true aneurysm of the deep femoral artery]
Périodique
Journal des maladies vasculaires
Auteur(s)
Salomon du Mont L., Holzer T., Kazandjian C., Saucy F., Corpataux J.M., Rinckenbach S., Déglise S.
ISSN
0398-0499 (Print)
ISSN-L
0398-0499
Statut éditorial
Publié
Date de publication
07/2016
Peer-reviewed
Oui
Volume
41
Numéro
4
Pages
286-289
Langue
français
Résumé
Aneurysms of the deep femoral artery, accounting for 5% of all femoral aneurysms, are uncommon. There is a serious risk of rupture. We report the case of an 83-year-old patient with a painless pulsatile mass in the right groin due to an aneurysm of the deep femoral artery. History taking revealed no cardiovascular risk factors and no other aneurysms at other localizations. The etiology remained unclear because no recent history of local trauma or puncture was found. ACT angiography was performed, revealing a true isolated aneurysm of the deep femoral artery with a diameter of 90mm, beginning 1cm after its origin. There were no signs of rupture or distal emboli. Due to unsuitable anatomy for an endovascular approach, the patient underwent open surgery, with exclusion of the aneurysm and interposition of an 8-mm Dacron graft to preserve deep femoral artery flow. Due to their localization, the diagnosis and the management of aneurysms of the deep femoral artery can be difficult. Options are surgical exclusion or an endovascular approach in the absence of symptoms or as a bridging therapy. If possible, blood flow to the distal deep femoral artery should be maintained, the decision depending also on the patency of the superficial femoral artery. In case of large size, aneurysms of the deep femoral artery should be treated without any delay.

Pubmed
Création de la notice
18/06/2016 16:50
Dernière modification de la notice
20/08/2019 15:31
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