A Durable Open Repair of A Rare Profunda Aneurysm
Pouria Parsa, MD, John Eidt, MD, Krystha Cantu, MD, Gregory Pearl, MD, Anthony Rios, MD, Dennis Gable, MD.
Baylor University Medical Center, Dallas, TX, USA.
INTRODUCTION: Profunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stages of development due to location and encasement in the deep thigh musculature. Profunda femoris artery aneurysm (PFAA) is an uncommon condition that represents only 0.5% of peripheral aneurysms and only 1-2.6% of all femoral artery aneurysms. CASE REPORT:We report the case of a 74-year-old male who was discovered to have a right PFAA during evaluation for progressively worsening short distance claudication. The PFAA was diagnosed through CT angiography and repaired via syndactylization of profunda femoris branches and interposition grafting with a polytetrafluoroethylene (PTFE) stretch graft. CONCLUSION: Although PFAAs are rare clinical presentations, the possibility of their development should be considered, in particular when symptoms such as progressive or unchanging claudication are present. Therefore, we hypothesize that polytetrafluoroethylene (PTFE) interposition graft placement with concomitant syndactilization of profunda femoris branches would produce substantial postoperative results.
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