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SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY

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Resumo:Superficial femoral artery (SFA) aneurysms are rare clinical disorders, with few case reports and small series published concerning atherosclerotic aneurysms. We report a clinical case a giant aneurysm of the SFA, in a patient previously submitted to extensive SFA endarterectomy and vein angioplasty.A 73-year-old man presented at a routine vascular surgery consultation. The patient had been submitted to a right SFA endartectomy and vein patch angioplasty, sixteen years ago, for intermittent claudication. Physical examination demon- strated a large pulsatile mass of the right thigh. His right pedal pulse was palpable. Ultrasound and computed tomography scan confirmed a 78x71x240mm aneurysm of the right superficial femoral artery. He was proposed to aneurysmectomy and femoro-popliteal bypass. During operative intervention, proximal and distal control was obtained and the aneurysm opened. A large amount of thrombus was removed and a femoro-popliteal bypass was performed using the ipsilateral great saphenous vein. The postoperative period was uneventful, as was the patient recovery. In our report, the aneurysmal area matched precisely to the endarterectomised area and no other aneurysms were found. So we are facing an uncommon case of a SFA degeneration into a giant aneurysm after extensive endarterectomy and vein angioplasty.
Assunto:Endarterectomia da artéria femoral superficial Degeneração aneurismática de veia Superficial femoral artery aneurysm Aneurisma da artéria femoral superficial Superficial femoral artery endarterectomy Vein aneurysmal degeneration
País:Portugal
Tipo de documento:journal article
Tipo de acesso:Restrito
Instituição associada:Angiologia e Cirurgia Vascular
Idioma:inglês
Origem:Angiologia e Cirurgia Vascular
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conditionsOfAccess_str Copyright (c) 2019 Angiologia e Cirurgia Vascular
contentURL_str_mv http://acvjournal.com/index.php/acv/article/view/274/154
http://acvjournal.com/index.php/acv/article/view/274
country_str PT
description Superficial femoral artery (SFA) aneurysms are rare clinical disorders, with few case reports and small series published concerning atherosclerotic aneurysms. We report a clinical case a giant aneurysm of the SFA, in a patient previously submitted to extensive SFA endarterectomy and vein angioplasty.A 73-year-old man presented at a routine vascular surgery consultation. The patient had been submitted to a right SFA endartectomy and vein patch angioplasty, sixteen years ago, for intermittent claudication. Physical examination demon- strated a large pulsatile mass of the right thigh. His right pedal pulse was palpable. Ultrasound and computed tomography scan confirmed a 78x71x240mm aneurysm of the right superficial femoral artery. He was proposed to aneurysmectomy and femoro-popliteal bypass. During operative intervention, proximal and distal control was obtained and the aneurysm opened. A large amount of thrombus was removed and a femoro-popliteal bypass was performed using the ipsilateral great saphenous vein. The postoperative period was uneventful, as was the patient recovery. In our report, the aneurysmal area matched precisely to the endarterectomised area and no other aneurysms were found. So we are facing an uncommon case of a SFA degeneration into a giant aneurysm after extensive endarterectomy and vein angioplasty.
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documentType_str journal article
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identifierDoi_str https://doi.org/10.48750/acv.274
language eng
relatedInstitutions_str_mv Angiologia e Cirurgia Vascular
resourceName_str Angiologia e Cirurgia Vascular
spellingShingle SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY
Endarterectomia da artéria femoral superficial
Degeneração aneurismática de veia
Superficial femoral artery aneurysm
Aneurisma da artéria femoral superficial
Superficial femoral artery endarterectomy
Vein aneurysmal degeneration
title SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY
topic Endarterectomia da artéria femoral superficial
Degeneração aneurismática de veia
Superficial femoral artery aneurysm
Aneurisma da artéria femoral superficial
Superficial femoral artery endarterectomy
Vein aneurysmal degeneration