Aneurysm of the profunda femoris artery manifested as acute groin pain in a child

Treatment of simultaneous common femoral and profunda femoris artery aneurysms

We report the case of a 67-year-old man with separate simultaneous aneurysms of the common femoral and profunda femoris arteries. Treatment consisted of complete en bloc excision of both aneurysms, including the intervening segment of nonaneurysmal profunda femoris artery (PFA). Arterial reconstruction included the placement of a Dacron graft (DuPont, Wilmington, Del) from the external iliac artery to the superficial femoral artery and revascularization of the PFA with a segment of great saphenous vein. A review of the literature on presentation and treatment of PFA aneurysms is included.

Congenital-idiopathic superficial femoral artery aneurysm in a 7-year-old child

Superficial femoral artery aneurysm in children is distinctly uncommon, and usually results from infection, vasculitis, connective tissue disorder, or trauma. We report a 7-year-old girl who had multiple fusiform aneurysms of the right superficial femoral artery, with no evidence of related disorders. The patient successfully underwent aneurysm resection and femoral artery reconstruction with autogenous saphenous vein. Histologic examination revealed intimal thickening with fibroplasia without severe inflammatory infiltrates or cystic medial necrosis, suggesting a congenital-idiopathic arterial aneurysm. Three years after the procedure, the saphenous vein graft is fully patent and the patient is in good condition.