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Initial experience with proximal ligation for profunda femoris artery aneurysms: report of three cases

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Abstract

Profunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stage. They are often found due to the presence of complicated conditions, such as rapid expansion, rupture, or acute lower limb ischemia. Surgical procedures such as aneurysmectomy and endoaneurysmorrhaphy tend to be technically challenging because of the patient status and the extent of the aneurysm. We experienced three cases of PFAAs that were treated by proximal ligation (PL) without complete control of the distal branches. The exclusion of PFAAs was confirmed by duplex ultrasound or angiography at the end of the operation. There was no mortality in the perioperative period. During a 12-month follow-up, all cases exhibited complete exclusion of aneurysms with marked size reduction. Based on these findings, we propose that PL, with a careful follow-up for PFAA exclusion and distal limb circulation, could be an alternative treatment for complicated PFAAs.

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Conflict of interest

Tsunehiro Shintani and co-authors have no conflict of interest.

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Authors and Affiliations

  1. Department of Vascular Surgery, Shizuoka Red Cross Hospital, 8-2 Ottemachi, Aoi-Ku, Shizuoka city, Shizuoka, 420-0853, Japan

    Tsunehiro Shintani, Togo Norimatsu, Koji Atsuta, Takaaki Saitou & Hiroshi Mitsuoka

  2. Department of Cardiac Surgery, Shizuoka Red Cross Hospital, Shizuoka, Japan

    Shigeki Higashi

Authors
  1. Tsunehiro Shintani
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  2. Togo Norimatsu
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  3. Koji Atsuta
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  4. Takaaki Saitou
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  5. Shigeki Higashi
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  6. Hiroshi Mitsuoka
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Correspondence to Tsunehiro Shintani.

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Shintani, T., Norimatsu, T., Atsuta, K. et al. Initial experience with proximal ligation for profunda femoris artery aneurysms: report of three cases. Surg Today 44, 748–752 (2014). https://doi.org/10.1007/s00595-013-0525-5

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  • DOI: https://doi.org/10.1007/s00595-013-0525-5

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