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Vol. 9. Issue 3.
Pages 97-98 (September 2013)
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Vol. 9. Issue 3.
Pages 97-98 (September 2013)
DOI: 10.1016/S1646-706X(13)70008-9
Open Access
Bilateral isolated aneurysms of profunda femoris artery
Aneurismas isolados da artéria femoral profunda
José Tiago
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Corresponding author.
, Pedro Martins, Viviana Manuel, Carlos Martins, José Fernandes e Fernandes
Department of Angiology and Vascular Surgery, Hospital Universitário de Santa Maria, Lisbon, Portugal
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First described by Pappas et al.1 arteriosclerotic aneurysms of profunda femoris are very rare entities.1–5 Because of its anatomical position in the muscular fascia and wall characteristics the profunda artery is less affected by aneurismal disease than other peripheral arteries and true aneurysms account for less than 0.5%2 of all peripheral aneurysms and 1–6,6%3,4 of all femoral arteries aneurysms.

Bilateral profunda femoris artery aneurysms (BPFAA) are even rarer and without a context of polianeurysmatic disease few cases are described in literature.5

Case report

A 72 years old man presented with complaints of acute swelling and pulsatile mass in the proximal left thigh (Fig. 1). On past medical history the patient was a former smoker, had a bilateral inguinal hernia repair, open prostatectomy for benign prostatic hyperplasia and was being treated for arterial hypertension and atrial fibrillation. He denied other comorbidities, history of trauma or needle use in the left groin.

Figure 1.

Left femoral pulsatile and expansible mass (red arrow).


On physical examination there was a large pulsatile and expansible mass in the left medial thigh region. The duplex scan examination showed BPFAA with a large left profunda femoris artery aneurysm (PFAA)

CT scan revealed a 6 cm diameter PFAA in the left tight and a right 1.7 cm PFAA (Figs. 2 and 3). No other aneurysms were present at the CT screening.

Figure 2.

Computed tomography scan showing bilateral profunda femoris artery aneurysm, including a 6cm diameter aneurysm on the left side (red arrow).

Figure 3.

Three-dimensional computed tomography scan reconstruction showing the 6cm diameter left bilateral profunda femoris artery aneurysm.


The patient underwent successful surgical repair with open aneurysmectomyand graft repair with polytetra fluoroethylene (PTFE) interposition on the left side. The right PFAA was maintained in close surveillance (Figs. 4 and 5).

Figure 4.

Left bilateral profunda femoris artery aneurysm exposed through a longitudinal groin incision. Inflow and outflow vessels are encircled with blue tape and the femoral nerve with red tape.

Figure 5.

Open aneurysmectomy and polytetrafl uoroethylene (PTFE) graft interposition.


Isolated BPFAA are extremely rare and asymptomatic most of the time, when symptoms are present, surgical repair is prompt recommended to prevent complications such as femoral nerve and veins compression and aneurysm rupture with great risk of limb loss. Treatment of PFAA is safe maintains profunda artery function, eliminates the presence of compressive neurologic signs and reduces deep venous thrombosis risk.

G. Pappas, J. Janes, P. Bernatz, A. Schriger.
Femoral aneurysms.
JAMA, 190 (1964), pp. 489-493
P.B. Rich, S.W. Wolk, M.J. Sarosi, C.J. Shanley.
Endovascular management of a true aneurysm of the profunda femoris artery: a case report.
Vasc Endovascular Surg, 34 (2000), pp. 467-470
S.R. Posner, J. Wilensky, J. Dimick, P.K. Henke.
A true aneurysm of the profunda femoris artery: a case report and review of the English language literature.
Ann Vasc Surg, 18 (2004), pp. 740-746
B.S. Cutler, R.C. Darling.
Surgical management of arteriosclerotic femoral aneurysms.
Surgery, 74 (1973), pp. 764-773
G. Gemayel, D. Mugnai, E. Khabiri, J. Sierra, N. Murith, A. Kalangos.
Isolated bilateral profunda femoris artery aneurysm.
Ann Vasc Surg, 24 (2010),
Copyright © 2013. Sociedade Portuguesa de Angiologia e Cirurgia Vascular
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