A CASE OF ANEURYSM OF THE DEEP FEMORAL ARTERY

A case of isolated true aneurysm of the deep femoral artery in a 79-year-old man is reported, together with a review of 64 cases seen in the Japanese literature.The patient was admitted to the hospital because of a tumor in the left thigh. As there was no distal vascular occlusive disease, only the isolated aneurysm in the deep femoral artery was resected without a revascularization. The removed aneurysm was a true arteriosclerotic aneurysm, with dimensions of 9.5×7.0×8.0 cm. The patient has been free from symptoms as of 21st month postoperatively.Including this case, 64 cases of this condition have been reported in Japan. Their mean age (68.1 years old) was high, and most patients (58) were males. In 9 patients, aneurysms occurred bilaterally. Coexistence of aneurysms in other arteries was found in 22 patients (31 arteries). Rupture of the aneurysm had occurred in 29 patients. The aneurysm was attributed to arteriosclerosis in as much as 49 patients.One patient was treated by catheter embolization, and the other patients were treated by aneurysmectomy or ligation of the artery. In 24 patients, revascularization was also carried out. Except for 2 patients in whom amputation of the extremities was performed, all patients had good prognoses.