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Pseudo-aneurysms of profunda femoris—causes, presentation, and management

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Background

Pseudo-aneurysms of the profunda femoris are rare and seriously complicate blunt or penetrating injuries of thigh. Angiography is needed for definitive diagnosis. The commonest presentation is a swelling in the thigh. Treatment is surgical or conservative. We here attempt to profile 11 cases of profunda femoris pseudo-aneurysms, their causes, presentation, and management that presented to our department over a period of 8 years.

Material and methods

From January 2008 to December 2015, our department received 11 patients of profunda femoris pseudo-aneurysms. Contrast-enhanced CT angiography was done. The cavity of the pseudo-aneurysm was debrided, rinsed with antibiotic solution, and defect repaired. Patients were discharged on the third postoperative day and followed up for 8 weeks. None had any recollection or vascular deficit.

Results

There were seven (63.64%) males and four (36.36%) females. Age ranged from 25 to 75 years with a mean of 52.36 years. Time of presentation ranged from 1 to 180 days with a mean of 35.27 days. Size of swellings ranged from 2.4 × 1 cm to 8 × 6 cm with a mean 5.4 × 3.86 cm. Three responded to conservative measures. The commonest mode of presentation was a swelling (11, 100%) in the thigh.

Conclusion

It is important to have a high index of suspicion for profunda femoris pseudo-aneurysm and perform appropriate workup when the patient presents with thigh swelling, pain, and a significant decrease in haemoglobin level mandating an early angiography.

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Authors and Affiliations

  1. Department of CVTS, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Soura, Srinagar, Kashmir, 190011, India

    HAKEEM ZUBAIR ASHRAF, SHYAM SINGH RATHORE & WAHID SYED SHAH

Authors
  1. HAKEEM ZUBAIR ASHRAF
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  2. SHYAM SINGH RATHORE
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  3. WAHID SYED SHAH
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Corresponding author

Correspondence to HAKEEM ZUBAIR ASHRAF.

Ethics declarations

This study was not funded by any group, company, or organisation either governmental or non-governmental. An informed consent for procedures done was taken by all patients involved conforming to the ethical standards followed by the institute.

Conflict of interest

The authors declare that they have no conflict of interest.

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ASHRAF, H.Z., RATHORE, S.S. & SHAH, W.S. Pseudo-aneurysms of profunda femoris—causes, presentation, and management. Indian J Thorac Cardiovasc Surg 33, 220–224 (2017). https://doi.org/10.1007/s12055-017-0526-x

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  • DOI: https://doi.org/10.1007/s12055-017-0526-x

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