Abstract
The patient was a 77-year-old man with sudden-onset chest and back pain. Computed tomography angiography (CTA) from the abdomen to the proximal thigh showed an aortic aneurysmal dissection (AAD) and a left deep femoral artery (DFA) aneurysm. The AAD was conservatively managed as there was no sign of increase. The left DFA aneurysm was surgically resected to avoid complications such as rupture, thromboembolism, and limb ischemia. On follow-up CTA obtained 3 weeks later, a spontaneous AVF in a varicose vein of the right DFA was noted. There were no symptoms associated with the AVF, and he was conservatively managed. However, the varicose vein gradually increased, and he underwent successful transarterial catheter embolization (TAE) with metal coils without any complications. After vascular repair of the aneurysm and the AVF of the right DFA, there was no sign of recurrence.
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References
Davidovic L, Lotina S, Vojnovic B, Kostic D, Cinera I, Cvetkovic S, et al. Post-traumatic AV fistulas and pseudoaneurysms. J Cardiovasc Surg 1997;38:645–651.
Posner SR, Wilensky J, Dimick J, Henke PK. A true aneurysm of the profunda femoris artery: a case report and review of the English language literature. Ann Vasc Surg 2004;18:740–746.
Hariharan D, Singhal R, Bahal V. Deep femoral artery aneurysm: report of a case. Surg Today 2006;36:975–977.
Raine NM, Magee TR, Galland RB. Thigh embolisation in association with bilateral profunda femoris aneurysms. Eur J Vasc Endovasc Surg 1995;9:491–493.
Billig DM, Jordan PH Jr, DeBakey ME. Arteriosclerotic aneurysm of the profunda femoris artery: report of a case with successful surgical repair. Cardiovasc Res Cent Bull 1968;6:139–141.
Straton CS, Tisnado J. Spontaneous arteriovenous fistulas of the lower extremities: angiographic demonstration in five patients with peripheral vascular disease. Cardiovasc Intervent Radiol 2000;23:318–321.
Nakadi BE, Bertrand S, Farran M. Deep femoral artery aneurysm rupture. A case report. J Cardiovasc Surg 1996;37:353–354.
Jamieson WG, Carrol SE. Ruptured profunda femoris aneurysm presenting as thrombophlebitis. Med Serv J Can 1965;21:193–198.
Dorrucci V, Veraldi GF, Dusi R, Franceschetti ME. True aneurysm of the profunda femoris artery. Case report and literature review. Minerva Chir 1998;53:847–851.
Ratto GB, Sacco A, Canepa G, Motta G. Atherosclerotic aneurysm of the deep femoral artery. J Cardiovasc Surg 1984;25:566–574.
Kent KC, McArdle CR, Kennedy B, Baim DS, Anninos E, Skillman JJ. A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 1993;17:125–131, 131–3.
Schaub F, Theiss W, Heinz M, Zagel M, Schomig A. New aspects in ultrasound-guided compression repair of post-catheterization femoral artery injuries. Circulation 1994;90:1861–1865.
Peynircioglu B, Ozkan M, Dogan OF, Cil BE, Dogan R. Transvenous embolization of a spontaneous femoral AVF 5 years after an incomplete treatment with arterial stent-grafts. Cardiovasc Intervent Radiol 2008;31:407–410.
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Nakamura, S., Sugahara, T., Watanabe, T. et al. Synchronous spontaneous arteriovenous fistula and aneurysm of the deep femoral artery incidentally found in a patient with aortic aneurysmal dissection. Radiat Med 26, 427–430 (2008). https://doi.org/10.1007/s11604-008-0244-9
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DOI: https://doi.org/10.1007/s11604-008-0244-9