SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.274 |
Resumo: | Superficial femoral artery (SFA) aneurysms are rare clinical disorders, with few case reports and small series published concerning atherosclerotic aneurysms. We report a clinical case a giant aneurysm of the SFA, in a patient previously submitted to extensive SFA endarterectomy and vein angioplasty.A 73-year-old man presented at a routine vascular surgery consultation. The patient had been submitted to a right SFA endartectomy and vein patch angioplasty, sixteen years ago, for intermittent claudication. Physical examination demon- strated a large pulsatile mass of the right thigh. His right pedal pulse was palpable. Ultrasound and computed tomography scan confirmed a 78x71x240mm aneurysm of the right superficial femoral artery. He was proposed to aneurysmectomy and femoro-popliteal bypass. During operative intervention, proximal and distal control was obtained and the aneurysm opened. A large amount of thrombus was removed and a femoro-popliteal bypass was performed using the ipsilateral great saphenous vein. The postoperative period was uneventful, as was the patient recovery. In our report, the aneurysmal area matched precisely to the endarterectomised area and no other aneurysms were found. So we are facing an uncommon case of a SFA degeneration into a giant aneurysm after extensive endarterectomy and vein angioplasty. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTYDEGENERESCÊNCIA ANEURISMÁTICA DA ARTÉRIA FEMORAL SUPERFICIAL — DEZASSEIS ANOS APÓS ENDARTERECTOMIA DA ARTÉRIA FEMORAL SUPERFICIAL E ENCERRAMENTO COM PATCH DE VEIA GRANDE SAFENASuperficial femoral artery aneurysmVein aneurysmal degenerationSuperficial femoral artery endarterectomyAneurisma da artéria femoral superficialDegeneração aneurismática de veiaEndarterectomia da artéria femoral superficialSuperficial femoral artery (SFA) aneurysms are rare clinical disorders, with few case reports and small series published concerning atherosclerotic aneurysms. We report a clinical case a giant aneurysm of the SFA, in a patient previously submitted to extensive SFA endarterectomy and vein angioplasty.A 73-year-old man presented at a routine vascular surgery consultation. The patient had been submitted to a right SFA endartectomy and vein patch angioplasty, sixteen years ago, for intermittent claudication. Physical examination demon- strated a large pulsatile mass of the right thigh. His right pedal pulse was palpable. Ultrasound and computed tomography scan confirmed a 78x71x240mm aneurysm of the right superficial femoral artery. He was proposed to aneurysmectomy and femoro-popliteal bypass. During operative intervention, proximal and distal control was obtained and the aneurysm opened. A large amount of thrombus was removed and a femoro-popliteal bypass was performed using the ipsilateral great saphenous vein. The postoperative period was uneventful, as was the patient recovery. In our report, the aneurysmal area matched precisely to the endarterectomised area and no other aneurysms were found. So we are facing an uncommon case of a SFA degeneration into a giant aneurysm after extensive endarterectomy and vein angioplasty.Os aneurismas da artéria femoral superficial (AFS) são entidades clínicas raras, com poucos casos clínicos e pequenas séries publicadas, normalmente relativas a aneurismas de etiologia aterosclerótica. Nós reportamos o caso clínico de degene- rescência aneurismática da artéria femoral superficial, num doente previamente submetido a endarterectomia da AFS e encerramento com patch de veia grande safena. Um homem de 73 anos apresentou-se numa consulta de rotina de cirurgia vascular. O paciente tinha sido submetido a endarterectomia da AFS e angioplastia com patch de veia, dezasseis anos atrás, por claudicação intermitente. Ao exame físico, o doente apresentava uma massa pulsátil na coxa direita. O pulso pedioso era palpável e amplo. O ecodoppler e AngioTC confirmaram o diagnóstico de aneurisma da AFS com 78x71x240mm. O doente foi proposto para aneurismectomia e pontagem femoro-poplítea. Durante o procedimento, foi realizado o controlo proximal e distal da AFS, e o aneurisma foi aberto. Após remoção de quantidade considerável de trombo, foi realizado uma pontagem femoro-poplítea inlay, com recurso à veia grande safena ipsilateral.No caso descrito, a zona aneurismática coincidia precisamente com a extensão de AFS endarterectomizada e nenhum outro aneurisma foi detectado. Este é um caso incomum de degenerescência aneurismática da AFS após endarterectomia e angioplastia com patch de veia.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2019-12-27T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.274oai:ojs.acvjournal.com:article/274Angiologia e Cirurgia Vascular; Vol. 15 No. 3 (2019): September; 215-218Angiologia e Cirurgia Vascular; Vol. 15 N.º 3 (2019): Setembro; 215-2182183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/274https://doi.org/10.48750/acv.274http://acvjournal.com/index.php/acv/article/view/274/154Copyright (c) 2019 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessTeixeira, GabrielaMartins, JoanaMatos, ArlindoAntunes, InêsVeiga, CarlosMendes, DanielVeterano, CarlosRocha, HenriqueCastro, JoãoAlmeida, Rui2022-05-23T15:10:08Zoai:ojs.acvjournal.com:article/274Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:38.962732Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY DEGENERESCÊNCIA ANEURISMÁTICA DA ARTÉRIA FEMORAL SUPERFICIAL — DEZASSEIS ANOS APÓS ENDARTERECTOMIA DA ARTÉRIA FEMORAL SUPERFICIAL E ENCERRAMENTO COM PATCH DE VEIA GRANDE SAFENA |
title |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY |
spellingShingle |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY Teixeira, Gabriela Superficial femoral artery aneurysm Vein aneurysmal degeneration Superficial femoral artery endarterectomy Aneurisma da artéria femoral superficial Degeneração aneurismática de veia Endarterectomia da artéria femoral superficial |
title_short |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY |
title_full |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY |
title_fullStr |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY |
title_full_unstemmed |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY |
title_sort |
SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY |
author |
Teixeira, Gabriela |
author_facet |
Teixeira, Gabriela Martins, Joana Matos, Arlindo Antunes, Inês Veiga, Carlos Mendes, Daniel Veterano, Carlos Rocha, Henrique Castro, João Almeida, Rui |
author_role |
author |
author2 |
Martins, Joana Matos, Arlindo Antunes, Inês Veiga, Carlos Mendes, Daniel Veterano, Carlos Rocha, Henrique Castro, João Almeida, Rui |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Teixeira, Gabriela Martins, Joana Matos, Arlindo Antunes, Inês Veiga, Carlos Mendes, Daniel Veterano, Carlos Rocha, Henrique Castro, João Almeida, Rui |
dc.subject.por.fl_str_mv |
Superficial femoral artery aneurysm Vein aneurysmal degeneration Superficial femoral artery endarterectomy Aneurisma da artéria femoral superficial Degeneração aneurismática de veia Endarterectomia da artéria femoral superficial |
topic |
Superficial femoral artery aneurysm Vein aneurysmal degeneration Superficial femoral artery endarterectomy Aneurisma da artéria femoral superficial Degeneração aneurismática de veia Endarterectomia da artéria femoral superficial |
description |
Superficial femoral artery (SFA) aneurysms are rare clinical disorders, with few case reports and small series published concerning atherosclerotic aneurysms. We report a clinical case a giant aneurysm of the SFA, in a patient previously submitted to extensive SFA endarterectomy and vein angioplasty.A 73-year-old man presented at a routine vascular surgery consultation. The patient had been submitted to a right SFA endartectomy and vein patch angioplasty, sixteen years ago, for intermittent claudication. Physical examination demon- strated a large pulsatile mass of the right thigh. His right pedal pulse was palpable. Ultrasound and computed tomography scan confirmed a 78x71x240mm aneurysm of the right superficial femoral artery. He was proposed to aneurysmectomy and femoro-popliteal bypass. During operative intervention, proximal and distal control was obtained and the aneurysm opened. A large amount of thrombus was removed and a femoro-popliteal bypass was performed using the ipsilateral great saphenous vein. The postoperative period was uneventful, as was the patient recovery. In our report, the aneurysmal area matched precisely to the endarterectomised area and no other aneurysms were found. So we are facing an uncommon case of a SFA degeneration into a giant aneurysm after extensive endarterectomy and vein angioplasty. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-27T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.274 oai:ojs.acvjournal.com:article/274 |
url |
https://doi.org/10.48750/acv.274 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/274 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/274 https://doi.org/10.48750/acv.274 http://acvjournal.com/index.php/acv/article/view/274/154 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 15 No. 3 (2019): September; 215-218 Angiologia e Cirurgia Vascular; Vol. 15 N.º 3 (2019): Setembro; 215-218 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799129849756909568 |