| False Aneurysm of the Superficial
Femoral Artery Associated with a Midshaft Fracture of the Femur |
(Department of Surgery, Yoichi Hospital, Yoichi,
Japan and Department of Surgery, Otaru Hospital*, Otaru, Japan)
| Hideaki Yoshida |
Morio Tsukada |
Tomoyoshi Atsuta* |
|
A 46-year-old woman was admitted
to Yoichi Hospital for a midshaft fracture of the left femur
following a ski injury. Four days after the injury osteosynthesis
with intramedullary nails was performed. On the 18th postoperative
day, a painful and pulsatile tumor was observed in the medial
aspect of the left thigh. A left femoral arteriogram showed a
6 cm large aneurysm of the superficial femoral artery. The aneurysm
was excised with a short segment of the vessel and the arterial
continuity was restored by an end-to-end anastomosis. The postoperative
course was uneventful and she has no symptom of left lower limb
ischemia for 3 years. False aneurysm which has been recognized
as a late complication of fracture of the femur usually occurs
in the deep femoral artery. There are few reports concerning
the combination of midshaft fracture of the femur and false aneurysm
of the superficial femoral aretry. We describe this case and
discuss this rare complication which should be kept in mind when
displacement of bone fragment is large enough and close to the
artery.
Jpn. J. Cardiovasc. Surg. 32：48-51（2003） |
|
