True deep femoral artery aneurysms: Case series and review of the literature

True deep femoral artery (DFA) aneurysm is a rare disease for which treatment strategies and surgical indications have not yet been precisely determined. Symptoms of true DFA aneurysms often include a pulsatile mass and tenderness in the thigh, but may be asymptomatic and incidentally diagnosed by c...

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Main Authors: Hiroyoshi Komai, MD, PhD, Nobuko Yamamoto, MD, PhD, Prem C. Gupta, MBBS, MS, Palma M. Shaw, MD, FACS, RPVI
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:JVS-Vascular Insights
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Online Access:http://www.sciencedirect.com/science/article/pii/S2949912724001302
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author Hiroyoshi Komai, MD, PhD
Nobuko Yamamoto, MD, PhD
Prem C. Gupta, MBBS, MS
Palma M. Shaw, MD, FACS, RPVI
author_facet Hiroyoshi Komai, MD, PhD
Nobuko Yamamoto, MD, PhD
Prem C. Gupta, MBBS, MS
Palma M. Shaw, MD, FACS, RPVI
author_sort Hiroyoshi Komai, MD, PhD
collection DOAJ
description True deep femoral artery (DFA) aneurysm is a rare disease for which treatment strategies and surgical indications have not yet been precisely determined. Symptoms of true DFA aneurysms often include a pulsatile mass and tenderness in the thigh, but may be asymptomatic and incidentally diagnosed by computed tomography scan. True aneurysms are extremely rare, making up approximately 0.5% of peripheral arterial aneurysms. They are often found in elderly men and are associated with aneurysms in other areas. Indications for surgery for DFA aneurysm have not yet been determined. Whenever possible, it is important to reconstruct the DFA, because this serves as an important collateral source in case there is future development of atherosclerotic occlusive disease of the lower limb. When simple ligation of a DFA aneurysm is performed, ligation of feeding branches is important to avoid perfusion and expansion. We present a case series and review of the literature of this rare pathology.
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publisher Elsevier
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series JVS-Vascular Insights
spelling doaj-art-0797d4f379b442d7bf20463e901360d52025-01-24T04:46:09ZengElsevierJVS-Vascular Insights2949-91272025-01-013100182True deep femoral artery aneurysms: Case series and review of the literatureHiroyoshi Komai, MD, PhD0Nobuko Yamamoto, MD, PhD1Prem C. Gupta, MBBS, MS2Palma M. Shaw, MD, FACS, RPVI3Department of Vascular Surgery, Kansai Medical University Medical Center, Moriguchi, Osaka, Japan; Correspondence: Hiroyoshi Komai, MD, PhD, Department of Vascular Surgery, Kansai Medical University Medical Center, 10-15 Fumizonocho, Moriguchi, Osaka 570-8507, JapanDepartment of Vascular Surgery, Kansai Medical University Medical Center, Moriguchi, Osaka, JapanDepartment of Vascular and Endovascular Surgery, Care Hospital, Banjara Hills, Hyderabad, IndiaDivision of Vascular and Endovascular Surgery, Upstate Medical Center, Syracuse, NYTrue deep femoral artery (DFA) aneurysm is a rare disease for which treatment strategies and surgical indications have not yet been precisely determined. Symptoms of true DFA aneurysms often include a pulsatile mass and tenderness in the thigh, but may be asymptomatic and incidentally diagnosed by computed tomography scan. True aneurysms are extremely rare, making up approximately 0.5% of peripheral arterial aneurysms. They are often found in elderly men and are associated with aneurysms in other areas. Indications for surgery for DFA aneurysm have not yet been determined. Whenever possible, it is important to reconstruct the DFA, because this serves as an important collateral source in case there is future development of atherosclerotic occlusive disease of the lower limb. When simple ligation of a DFA aneurysm is performed, ligation of feeding branches is important to avoid perfusion and expansion. We present a case series and review of the literature of this rare pathology.http://www.sciencedirect.com/science/article/pii/S2949912724001302Deep femoral arteryProfunda femoris arteryPeripheral aneurysmTrue aneurysmSurgical treatment
spellingShingle Hiroyoshi Komai, MD, PhD
Nobuko Yamamoto, MD, PhD
Prem C. Gupta, MBBS, MS
Palma M. Shaw, MD, FACS, RPVI
True deep femoral artery aneurysms: Case series and review of the literature
JVS-Vascular Insights
Deep femoral artery
Profunda femoris artery
Peripheral aneurysm
True aneurysm
Surgical treatment
title True deep femoral artery aneurysms: Case series and review of the literature
title_full True deep femoral artery aneurysms: Case series and review of the literature
title_fullStr True deep femoral artery aneurysms: Case series and review of the literature
title_full_unstemmed True deep femoral artery aneurysms: Case series and review of the literature
title_short True deep femoral artery aneurysms: Case series and review of the literature
title_sort true deep femoral artery aneurysms case series and review of the literature
topic Deep femoral artery
Profunda femoris artery
Peripheral aneurysm
True aneurysm
Surgical treatment
url http://www.sciencedirect.com/science/article/pii/S2949912724001302
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