A Case of Hybrid Therapy for Deep Femoral Artery Aneurysm in a Frail Older Patient

Kaichiro Manabe＊	Hidetake Kawajiri＊	Takuma Kobayashi＊
Satoshi Numata＊	Keiichi Kanda＊	Hitoshi Yaku＊

(Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine＊, Kyoto, Japan)

An 89-year-old man complained of pulsatile masses in his right groin. Computed tomography (CT) scans revealed an aneurysm of the right deep femoral artery. He was admitted to our hospital with a diagnosis of deep femoral artery aneurysm (DFAA). The clinical frailty scale score was 6 (moderately frail), and he also suffered chronic obstructive pulmonary disease (COPD). Considering his complicated frail and impaired pulmonary function, conventional graft replacement and aneurysmectomy were thought to be quite a high risk. Thus, we selected endovascular treatment. It was not possible to secure a sufficient proximal landing zone for measurement, we did not select a stent-graft treatment. Therefore, we performed hybrid therapy with proximal neck ligation and distal outflow coil embolization. The postoperative course was uneventful, and CT disclosed complete occlusion of the aneurysm.

 

Jpn. J. Cardiovasc. Surg. 51: 372-375 （2022）

Keywords：deep femoral artery aneurysm; endovascular treatment; frail; hybrid therapy