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Common Femoral Artery Aneurysm: A Challenging Diagnostic and Treatment of a Rare Case

Heart Science Journal · Vol. 2 No. 2 (2021) · hlm. 31–33

DOI
10.21776/ub.hsj.2021.002.02.7
ISSN
2721-9984, 2721-9976
Terbit
2021-04-29
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BACKGROUND: Aneurysm of peripheral artery is a rare vascular pathology, especially aneurysm in common femoral artery. Here, we presented a case report of right common femoral artery aneurysm caused by infectionCASE REPORT: a 76-year-old man referred to our hospital with pulsatile groin mass at his right thigh. He had no prior history of surgery or traumas, but he has been treated in private hospital due to septic condition, hypertension, and diabetes mellitus type II. Based on findings from physical examination and radiology examination, a diagnosis of common femoral artery aneurysm was made. The patient was referred to Cardiovascular and Thoracic Surgeon Department and scheduled for routine surgery, but on third day of admission patient became hemodynamically unstable and on re-examination it was found that the aneurysm had been ruptured. Emergency surgery was conducted on that day. During surgery patient was hemodynamically stable with PRC transfusion.DISCUSSION: Aneurysms can occur in almost any artery in the body. Femoral artery aneurysm was rare. Diagnostic procedure with various modalities were needed to establish a precise diagnosis for patient which come with swelling in his/her lower extremity. Doppler ultrasound was conducted in order to find a saccular mass with neck and a yin and yang phenomenon, which can narrow down the differential diagnosis to pseudoaneurysm or aneurysm. Subsequent CT angiography clearly confirmed the involvement of 3 layer arterial wall as a sign of an aneurysm. Femoral artery aneurysms (FAA) may be caused by weakening of the arterial wall due to atherosclerosis or mycotic aneurysm. Surgical repair of aneurysm is an option when symptomatic and that should also be considered when there is ongoing hemodynamic instability or limb ischemia.CONCLUSION: The common femoral artery aneurysm aren’t common. It is very rarely to be isolated aneurysm and usually don’t tend to be rupture. Whenever a femoral artery aneurysm is found, search and follow-up for other aneurysms should take place. Annual follow-up is recommended. Straightforward surgical management brings good results in this group of patient. Keywords: Femoral artery aneurysm, Common femoral artery aneurysm, Isolated aneurysm, Mycotic aneurysm

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya49
Setyasih AnjarwaniUniversity of Brawijaya31
Cholid Tri TjahjonoUniversity of Brawijaya27
Anna Fuji RahimahUniversity of Brawijaya25
Sasmojo WiditoUniversity of Brawijaya21
Djanggan SargowoUniversity of Brawijaya21
Ardian RizalUniversity of Brawijaya21
Heny MartiniUniversity of Brawijaya17
Putri Annisa KamilaUniversity of Brawijaya7
Seprian WidasmaraUniversity of Brawijaya6
Wella KarolinaUniversity of Brawijaya5
Muhammad Rizki FadlanUniversity of Brawijaya5
Dea Arie KurniawanUniversity of Brawijaya5
Tria Yudha NugrahaUniversity of Brawijaya4
Hayla Iqda MillisaniUniversity of Brawijaya4
Valerinna YogibuanaAfiliasi tidak diketahui4
Ratna PancasariUniversity of Brawijaya4
Anna Fuji RahimahAfiliasi tidak diketahui4
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya4
Nikhen NoverikeUniversity of Brawijaya4
Lutfi Hafiz ZunardiUniversity of Brawijaya4
Adhika Prastya WikanandaUniversity of Brawijaya3
Sawitri SatwikajatiUniversity of Brawijaya3
Danti Utami SetyowatiRSUD Prof. Dr. Saiful Anwar Malang3
Yoga WaranugrahaUniversity of Brawijaya3
Irma KameliaUniversity of Brawijaya3
Shalahuddin Suryo BaskoroUniversity of Brawijaya3
Imam Mi'raj SuprayogaUniversity of Brawijaya3
Yuri AfifahUniversity of Brawijaya3
Muhammad Saifur RohmanAfiliasi tidak diketahui3
Nisa Amnifolia NiaztaUniversity of Brawijaya3
Liemena Harold AdrianRSUD Prof. Dr. Saiful Anwar Malang3
Teguh AryanugrahaUniversity of Brawijaya3
Yoseph Budi UtomoUniversity of Brawijaya2
Ardian RizalUniversity of Brawijaya2
Dadang HendrawanUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Common Femoral Artery Aneurysm: A Challenging Diagnostic and Treatment of a Rare Case</dc:title>
	<dc:creator xml:lang="en">Adityawati, Ayu Asri Devi</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Satrijo, Budi</dc:creator>
	<dc:creator xml:lang="en">Prasetya, Indra</dc:creator>
	<dc:subject xml:lang="en">Femoral artery aneurysm</dc:subject>
	<dc:subject xml:lang="en">Common femoral artery aneurysm</dc:subject>
	<dc:subject xml:lang="en">Isolated aneurysm</dc:subject>
	<dc:subject xml:lang="en">Mycotic aneurysm</dc:subject>
	<dc:description xml:lang="en">BACKGROUND: Aneurysm of peripheral artery is a rare vascular pathology, especially aneurysm in common femoral artery. Here, we presented a case report of right common femoral artery aneurysm caused by infectionCASE REPORT: a 76-year-old man referred to our hospital with pulsatile groin mass at his right thigh. He had no prior history of surgery or traumas, but he has been treated in private hospital due to septic condition, hypertension, and diabetes mellitus type II. Based on findings from physical examination and radiology examination, a diagnosis of common femoral artery aneurysm was made. The patient was referred to Cardiovascular and Thoracic Surgeon Department and scheduled for routine surgery, but on third day of admission patient became hemodynamically unstable and on re-examination it was found that the aneurysm had been ruptured. Emergency surgery was conducted on that day. During surgery patient was hemodynamically stable with PRC transfusion.DISCUSSION: Aneurysms can occur in almost any artery in the body. Femoral artery aneurysm was rare. Diagnostic procedure with various modalities were needed to establish a precise diagnosis for patient which come with swelling in his/her lower extremity. Doppler ultrasound was conducted in order to find a saccular mass with neck and a yin and yang phenomenon, which can narrow down the differential diagnosis to pseudoaneurysm or aneurysm. Subsequent CT angiography clearly confirmed the involvement of 3 layer arterial wall as a sign of an aneurysm. Femoral artery aneurysms (FAA) may be caused by weakening of the arterial wall due to atherosclerosis or mycotic aneurysm. Surgical repair of aneurysm is an option when symptomatic and that should also be considered when there is ongoing hemodynamic instability or limb ischemia.CONCLUSION: The common femoral artery aneurysm aren’t common. It is very rarely to be isolated aneurysm and usually don’t tend to be rupture. Whenever a femoral artery aneurysm is found, search and follow-up for other aneurysms should take place. Annual follow-up is recommended. Straightforward surgical management brings good results in this group of patient. Keywords: Femoral artery aneurysm, Common femoral artery aneurysm, Isolated aneurysm, Mycotic aneurysm</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2021-04-29</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/162</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2021.002.02.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 2 No. 2 (2021): Dealing with Vascular Disease; 31-33</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2021.002.02</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/162/295</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2021 Ayu Asri Devi Adityawati</dc:rights>
</oai_dc:dc>