Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.011318
Jornal Vascular Brasileiro
Case Report

Ruptura espontânea de aneurisma do segmento médio da artéria femoral superficial: relato de caso

Spontaneous rupture of superficial femoral artery aneurysm: case report

Marcio Miyamotto; João Márcio dos Santos Biscardi; Cristina Detoni Trentin; Rafael Malucelli Machado; Bruna Zimmerman Angelo; Danielle Côrrea de Andrade; Cintia Lopes Raymundo; Bruno Moraes Ribas

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Resumo

Resumo: Aneurismas verdadeiros isolados da artéria femoral superficial (AFS) são raros, representando 0,5% dos aneurismas periféricos. Até 2012, existiam relatos na literatura de apenas 103 pacientes com aneurismas verdadeiros isolados da AFS. As principais complicações associadas são: trombose, embolização distal e rotura, sendo a última a mais comum. Os autores relatam o caso de um paciente masculino, de 55 anos, atendido emergencialmente com dor e massa pulsátil em coxa esquerda, condição posteriormente diagnosticada como ruptura de aneurisma da AFS. O paciente foi submetido à correção cirúrgica emergencial com ligadura do aneurisma e revascularização com veia safena magna reversa, com evolução satisfatória.

Palavras-chave

artéria femoral superficial, aneurisma, reconstrução arterial

Abstract

Abstract: Isolated true aneurysms of the superficial femoral artery (SFA) are rare, accounting for 0.5% of peripheral aneurysms. The literature up to 2012 contains reports of just 103 patients with isolated SFA aneurysms. The main complications are thrombosis, distal embolization, and rupture, which is the most common of the three. The authors report the case of a 55-year-old male patient admitted to the emergency service with pain and a pulsatile mass in the left thigh, subsequently confirmed as rupture of an SFA aneurysm. The patient underwent open aneurysm repair with ligature and revascularization with a reversed saphenous vein bypass.
 

Keywords

superficial femoral artery, aneurysm, arterial bypass

References

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