Surgical Treatment of an Aneurysm of the Common and Deep Femoral Arteries:A Case Report

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A 61-year-old man with an aneurysm of the common and deep femoral arteries underwent successful vascular reconstruction.The patient presented with localized pain and a rapidly enlarging pulsatile mass in the femoral triangle.A graft was placed from the left common femoral artery to the left superficial and deep femoral arteries.No ischemic symptoms or thrombosis developed postoperatively.Successful reconstruction with a graft is rare in this situation,with less than 30 cases reported in Japan to date.This type of aneurysm is characterized by rapid enlargement and severe atherosclerotic changes.Ischemic complications may occur after surgical treatment of a ruptured deep femoral artery aneurysm.We recommend reconstruction using the saphenous vein or a vascular prosthesis,as there have been some reports of patients requiring leg amputation following ligation of the deep femoral artery.

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