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Clinical Significance of Arteriosclerotic Femoral Artery Aneurysms

Clinical Significance of Arteriosclerotic Femoral Artery Aneurysms Abstract • One hundred seventy-two arteriosclerotic femoral artery aneurysms in 100 male patients, 47 to 91 years old, were evaluated. They were bilateral in 72% of the patients, and were associated with aortoiliac aneurysmal disease in 85% and with popliteal artery aneurysms in 44%. Femoral artery aneurysms were asymptomatic in 40 patients. Thirteen patients with thromboembolic episodes and two with rupture had ischemic limbs. Thirty-eight patients underwent primary operation for 50 femoral aneurysms, including 36 lower extremity arterial reconstructions, ten aortofemoral bypasses, one arterial ligation, and three amputations. Two operative deaths occurred, both associated with concomitant aortic surgery. Only three of 105 aneurysms in 58 patients followed nonoperatively were associated with later major limb-threatening complications. The low complication rate attending small, bland aneurysms justified nonoperative management. Large or symptomatic aneurysms warrant early operative intervention. (Arch Surg 115:502-507, 1980) References 1. Adiseshiah M, Bailey DA: Aneurysms of the femoral artery . Br J Surg 64:174-176, 1977.Crossref 2. Baird RJ, Gurry JF, Kellam J, et al: Arteriosclerotic femoral artery aneurysms . Can Med Assoc J 117:1306-1307, 1977. 3. Barker WF: Peripheral arterial aneurysms: Proceedings of the 11th World Congress of the International Cardiovascular Society . J Cardiovasc Surg (special issue), vol 13, 1973, pp 226-270. 4. Bergan JJ, Kaupp HA, Trippel OH: Femoral aneurysmectomy: Management of the profunda femoris artery . Angiology 20:249-255, 1969.Crossref 5. Crawford ES, DeBakey ME, Cooley DA: Surgical considerations of peripheral arterial aneurysms: Analysis of one hundred seven cases . Arch Surg 78:226-238, 1959.Crossref 6. Crawford ES, Edwards WH, DeBakey WE, et al: Peripheral arteriosclerotic aneurysm . J Am Geriatr Soc 9:1-15, 1961. 7. Cutler BS, Darling RC: Surgical management of arteriosclerotic femoral aneurysms . Surgery 74:764-773, 1973. 8. Dent TL, Lindenauer SM, Ernst CB, et al: Multiple arteriosclerotic artery aneurysms . Arch Surg 105:338-344, 1972.Crossref 9. Eadie DGA: Aneurysms of the femoral artery: Proceedings of the 11th World Congress of the International Cardiovascular Society . J Cardiovasc Surg (special issue), vol 13, 1973, pp 307-310. 10. Inahara T: Aneurysms of the common femoral artery: Reconstruction with the mobilized external iliac artery . Am J Surg 111:759-763, 1966.Crossref 11. Pappas G, Janes JM, Bernatz PE, et al: Femoral aneurysms: Review of surgical management . JAMA 190:489-493, 1964.Crossref 12. Tolstedt GE, Radke HM, Bell JW: Late sequela of arteriosclerotic femoral aneurysms . Angiology 12:601-602, 1961.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1980.01380040124022
Publisher site
See Article on Publisher Site

Abstract

Abstract • One hundred seventy-two arteriosclerotic femoral artery aneurysms in 100 male patients, 47 to 91 years old, were evaluated. They were bilateral in 72% of the patients, and were associated with aortoiliac aneurysmal disease in 85% and with popliteal artery aneurysms in 44%. Femoral artery aneurysms were asymptomatic in 40 patients. Thirteen patients with thromboembolic episodes and two with rupture had ischemic limbs. Thirty-eight patients underwent primary operation for 50 femoral aneurysms, including 36 lower extremity arterial reconstructions, ten aortofemoral bypasses, one arterial ligation, and three amputations. Two operative deaths occurred, both associated with concomitant aortic surgery. Only three of 105 aneurysms in 58 patients followed nonoperatively were associated with later major limb-threatening complications. The low complication rate attending small, bland aneurysms justified nonoperative management. Large or symptomatic aneurysms warrant early operative intervention. (Arch Surg 115:502-507, 1980) References 1. Adiseshiah M, Bailey DA: Aneurysms of the femoral artery . Br J Surg 64:174-176, 1977.Crossref 2. Baird RJ, Gurry JF, Kellam J, et al: Arteriosclerotic femoral artery aneurysms . Can Med Assoc J 117:1306-1307, 1977. 3. Barker WF: Peripheral arterial aneurysms: Proceedings of the 11th World Congress of the International Cardiovascular Society . J Cardiovasc Surg (special issue), vol 13, 1973, pp 226-270. 4. Bergan JJ, Kaupp HA, Trippel OH: Femoral aneurysmectomy: Management of the profunda femoris artery . Angiology 20:249-255, 1969.Crossref 5. Crawford ES, DeBakey ME, Cooley DA: Surgical considerations of peripheral arterial aneurysms: Analysis of one hundred seven cases . Arch Surg 78:226-238, 1959.Crossref 6. Crawford ES, Edwards WH, DeBakey WE, et al: Peripheral arteriosclerotic aneurysm . J Am Geriatr Soc 9:1-15, 1961. 7. Cutler BS, Darling RC: Surgical management of arteriosclerotic femoral aneurysms . Surgery 74:764-773, 1973. 8. Dent TL, Lindenauer SM, Ernst CB, et al: Multiple arteriosclerotic artery aneurysms . Arch Surg 105:338-344, 1972.Crossref 9. Eadie DGA: Aneurysms of the femoral artery: Proceedings of the 11th World Congress of the International Cardiovascular Society . J Cardiovasc Surg (special issue), vol 13, 1973, pp 307-310. 10. Inahara T: Aneurysms of the common femoral artery: Reconstruction with the mobilized external iliac artery . Am J Surg 111:759-763, 1966.Crossref 11. Pappas G, Janes JM, Bernatz PE, et al: Femoral aneurysms: Review of surgical management . JAMA 190:489-493, 1964.Crossref 12. Tolstedt GE, Radke HM, Bell JW: Late sequela of arteriosclerotic femoral aneurysms . Angiology 12:601-602, 1961.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1980

References