Trauma-induced large true superficial femoral artery aneurysm: A case report

• Published in: Annals of medicine and surgery Vol. 55; pp. 234 - 237
• Main Authors: Al-Faham, Firas shaker Mahmoud, Al-Hakkak, Samer Makki Mohamed, Akpinar, Mehmet Besir
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.07.2020; Elsevier
• Subjects: Arterio-venous fistula; Case Report; Prosthetic vascular repair; Trauma; True superficial femoral artery aneurysm; Vascular injury; True superficial femoral artery aneurysm; Vascular injury; Prosthetic vascular repair; Trauma; Arterio-venous fistula
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2020.05.020

A femoral aneurysm is a weakness and bulging in the femoral artery wall located in the thigh. Femoral aneurysms can burst, which may cause uncontrolled bleeding and life-threatening conditions. The aneurysm may also cause a blood clot, showering emboli, potentially resulting in leg ischemia and amputation. A 49-year-old man with hypertension presented significant swelling in his right thigh. The patient had a history of surgery for arteriovenous fistula repair. The arteriovenous fistula in the thigh was caused by a bullet injury during the war. Diagnosis of the superficial femoral artery aneurysm was determined using magnetic resonance angiogram. The aneurysm was surgically excised and a prosthetic vascular graft was inserted. The exact cause of femoral aneurysms is unknown, although atherosclerosis and hypertension may play a key role. Trauma to the artery may also be a contributing factor. Long-standing occult arteriovenous fistula plays a significant role in the cause of distal aneurysms. Femoral aneurysms are usually treated surgically. A surgeon will replace the artery with a graft or create a bypass around the area of the artery where the aneurysm is present. •Traumatic bullet thigh injury need follow up even asymptomatic.•Hypertension may lead to an aneurysm, especially in the vulnerable artery.•Traumatic induced AVF lead to serious complication if discovered late.•CT angio non-beneficial in large aneurysm because of rapid disappear of dye.•MRA right choice for diagnosis and evaluation of giant SFA aneurysm.