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2022, Number 2

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Revista Cubana de Angiología y Cirugía Vascular 2022; 23 (2)

True isolated aneurysm in superficial femoral artery associated with blue finger syndrome

Zayas FC, Durand PE

Language: Spanish
References: 12
Page: 1-9
PDF size: 269.81 Kb.


ABSTRACT

Femoral aneurysms are rare and even more so in the superficial femoral artery. These account for only 3% of all peripheral aneurysms. The objective of this study was to present the case of an true isolated aneurysm in the superficial femoral artery associated with blue finger syndrome. A 75-year-old male patient, smoker, with a personal pathological history of arterial hypertension, is reported to be urgently referred from his health area for presenting changes in coloration (cyanosis), coldness and pain in the sole and toes of the right foot (distal microembolisms). The contrasted computed tomography showed an isolated aneurysm in the superficial femoral artery of 4.5 cm transverse diameter. It was decided to operate on the patient and aneurysmectomy was performed with interposition of prosthetic graft with polytetrafluoroethylene, with a configuration of termino-terminal anastomosis. He had a satisfactory immediate and late postoperative clinical evolution. Among femoral aneurysms, those affecting the superficial femoral artery are less described and can be complicated by thrombosis, distal embolization, or rupture. There is a high consensus for their repair by removing the embolic source, preventing thrombosis, treating rupture, eliminating any mass effects and restoring perfusion of the distal limb. Since blue finger syndrome may be the first manifestation of this pathology, its rapid recognition, early diagnosis of the emboligenic source and medical-surgical treatment can prevent major amputation or death of the patient.


REFERENCES

  1. Traina L, Zenunaj G, Bisogno F, Scian S, Acciarri P, Medini C, et al. Incidence, Diagnosis, Treatment, and Outcomes of True Superficial Artery Aneurysms. Ann Vasc Surg. 2021 [access 23/10/2021];76:565-72. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0890509621004404

  2. Depboylu BC, Yazman S, Harmandar B, Çeli?k SY. The Isolated True Saccular Aneurysm of the Superficial Femoral Artery Presenting with Blue Toe Syndrome. Mug Sitki Koçman Üniversitesi Tip Derg. 2018 [access 23/10/2021];5(1):17-20. Available from: https://dergipark.org.tr/en/pub/muskutd/447601

  3. Chung S, Jang J-Y, Kim D-K. Rare case of isolated true aneurysm in the superficial femoral artery treated with endovascular intervention: a case report. Eur Heart J Case Rep. 2020 [access 23/10/2021];4(1):1-4. Available from: https://academic.oup.com/ehjcr/article/4/1/1/5716113

  4. Frola E, Ferrero E, Cumbo P, Zandrino F, Gaggiano A. True Giant Ruptured Superficial Femoral Artery Aneurysm in Nonagenarian Female Patient: A Case Report and Review of the Literature. Ann Vasc Surg. 2019 [access 23/10/2021];56:13-7. Available from: https://www.sciencedirect.com/science/article/pii/S0890509618308793

  5. Mufty H, Daenens K, Houthoofd S, Fourneau I. Endovascular Treatment of Isolated Degenerative Superficial Femoral Artery Aneurysm. Ann Vasc Surg. 2018 [access 23/10/2021];49:11-4. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0890509618300906

  6. Duhalde SI, Berga FC, Arrebola LM, Pañella AF, Rodríguez EN, Admetller CX, et al. Aneurisma de arteria femoral superficial. Reporte de un caso y revisión de la patología. Cuad Cir. 2004 [acceso 23/10/2021];18(1):48-51. Disponible en: http://revistas.uach.cl/index.php/cuadcir/article/view/2301

  7. Türel S, Kirik A, Dolapoglu A, Kiliç A, Akay E, Aslan F, et al. Nadir görülen bir klinik tablo: Blue toe sendromu. Balikesir Med J. 2021 [access 23/10/2021];5(3):119-23. Available from: https://dergipark.org.tr/en/pub/bmedj/935478

  8. Parra Izquierdo V, Aguirre HD, Agudelo N, Cuervo FM, Peñaranda E. Reporte de casos de síndrome de dedo azul. Rev Colomb Reumatol. 2018 [acceso 23/10/2021];25(4):292-7. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0121812317301202

  9. Tartari F, Di Altobrando A, Merli Y, Patrizi A, Mirelli M, Bianchi T. Blue Toe Syndrome: A Challenging Diagnosis. Indian J Dermatol. 2019 [access 23/10/2021];64(6):506-7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6862376/

  10. Karmody AM. "Blue Toe" Syndrome: An Indication for Limb Salvage Surgery. Arch Surg. 1976 [access 23/10/2021];111(11):1263. Disponible en: http://archsurg.jamanetwork.com/article.aspx?doi=10.1001/archsurg.1976.01360290097015

  11. Perini P, Jean-Baptiste E, Vezzosi M, Raynier J-L, Mottini F, Batt M, et al. Surgical management of isolated superficial femoral artery degenerative aneurysms. J Vasc Surg. 2014 [access 23/10/2021];59(1):152-8. Available from: https://www.sciencedirect.com/science/article/pii/S0741521413013219

  12. Diaz J, Baeza C, González A, Torres P, Arribas A, Aparicio C. Open Surgical Repair of Femoral Artery Aneurysm: Case Report. Clin Surg. 2020 [access 23/10/2021];5(1):2. Available from: http://www.clinicsinsurgery.com/open-access/open-surgical-repair-of-femoral-artery-aneurysm-case-report-7026.pdf




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