SUPERFICIAL FEMORAL ARTERY ANEURYSMAL DEGENERATION — SIXTEEN YEARS AFTER SUPERFICIAL FEMORAL ARTERY ENDARTERECTOMY AND VEIN PATCH ANGIOPLASTY

Detalhes bibliográficos
Autor(a) principal: Teixeira, Gabriela
Data de Publicação: 2019
Outros Autores: Martins, Joana, Matos, Arlindo, Antunes, Inês, Veiga, Carlos, Mendes, Daniel, Veterano, Carlos, Rocha, Henrique, Castro, João, Almeida, Rui
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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spelling 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)
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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